ABSTRACT
To describe the initial experience, effectiveness, and safety profile of 23-gauge instrumentation for a variety of vitreoretinal conditions. A retrospective review of 30 consecutive 23-gauge vitrectomy cases done by a single vitreoretinal surgeon for various posterior segment conditions was done. All surgeries were performed using the two-step 23-gauge system developed by Dutch Ophthalmic Research Center [DORC]. All patients had at least 3-month follow-up. Main outcome measures included surgical success, visual acuity, intraocular pressure, and operative complications. Mean follow-up was 7.7 months [range 3-12 months]. Indications for surgery included rhegmatogenous retinal detachment [n=8], nonclearing vitreous hemorrhage [n=6], tractional retinal detachment [n=5], macular hole [n=5], epiretinal membrane [n=3], retained lens fragments [n=2] and endophthalmitis [n=1]. Gas tamponade was used in 18 eyes [60%] and silicone oil in six eyes [20%]. Mean overall preoperative visual acuity was 20/1053 and final acuity was 20/78 [P=0.001]. Mean intraocular pressure after 6 hours was 15.1mmHg [range 4-25 mmHg] and on postoperative day one was 14.5 mmHg [range 2-21 mmHg]. Four eyes [13.3%] required suturing of sclerotomy intraoperatively. Conversion to 20-gauge was done in one eye [3.3%]. Hypotony was reported in one eye [3.3%] postoperatively. Subconjunctival silicone oil reported in one eye [3.3%]. There were no postoperative complications of endophthalmitis, retinal or choroidal detachment. Twenty-three-gauge transconjunctival sutureless vitrectomy was effective in the management of wide variety of vitreoretinal surgical indications. The safety profile compared favorably with published rates for 25-gauge systems
Subject(s)
Humans , Male , Female , Eye Diseases , Postoperative Complications , Follow-Up Studies , Treatment OutcomeABSTRACT
Is to compare the effectiveness of old technique of Wies operation to the new modification on the degree of lid correction for entropion. Two groups each of 20 eyes of primary entropion from the out clinic of Tanta University Hospital, The first group had treated with the old technique described by Wies of full thickness Tarsotomy with marginal rotation. The second group had treated with the new modification of the transverse bile both groups were followed up for 6 month for the degree of correction. Both treated groups showed reasonable Marginal flap rotation with correction of the primary entropion, but the correction in the second group was substantial, also there was no recurrence in the second group compared to two cases of recurrence in the first group that favor the modified technique. The modified full thickness tarsotomy with marginal rotational flap has superior result to the old technique described by Wies in correction of upper lid entropion
Subject(s)
Humans , Male , Female , Plastic Surgery Procedures/methods , Eyelid Diseases , Treatment Outcome , Follow-Up StudiesABSTRACT
To evaluate the efficacy of 2 different concentrations of ICG in enhancing the visualization of anterior capsule during Capsulorhenxis [CCC] in white cataract. This study included twenty eyes with mature cataract prepared for extracapsular cataract extraction. The eyes were classified into two groups A and B, each included 10 patients. The anterior lens capsule was stained with either Indocyanine green 0.5% solution [group A] or with Indocyanine green 1% solution [group B]. After capsulorhexis was performed, routine extracapsular cataract extraction was performed. Postoperative evaluation included full ophthalmological evaluation. Follow up period was 6 months. Indocyanine green capsular staining enabled us to perform capsulorhexis successfully in all eyes in both groups. However, 1% Indocyanine green stained lens capsule [group B] showed better contrast against the white cortex than that obtained in eyes stained with Indocyanine green 0.5% solution [group A]. No adverse reactions were observed in both groups up to 6 months Indocyanine green staining of the anterior lens capsule appears to be safe technique to facilitate the performance of capsulorhexis in white cataract. 1% concentration provides better visualization and contrast without compromising the safety of the ocular structures