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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109

Volume 10, Issue 1, February 2014 pp 45-50

Research Article

23 Gauge Transconjunctival Vitrectomy-Short Term Visual Outcomes and Complications


Biju John C.1, Apuca Susan Mathew2

1Associate Professor, Regional Institute of Ophthalmology, Trivandrum 35, Kerala, INDIA.

2Professor SMCSI Medical College, Karakonam, Kerala, INDIA.

Academic Editor : Dr. Aher K.R.



Purpose: To report the initial experience, complications and short term visual outcomes of patients undergoing 23 Gauge Transconjunctival Pars Plana Vitrectomy. Methods: This was a Retrospective non comparative case series evaluating the first 50 consecutive cases of 23 Gauge Transconjunctival Pars Plana Vitrectomy done by a single surgeon in a Tertiary Eye Care centre. The outcome measures included best corrected visual acuity at 6weeks compared to the Pre Operative Visual acuity, Intraoperative complications and difficulties and Post Operative complications. The relevant information was retrieved from the case records and follow up records of these patients. Results: Out of the 50 eyes studied, Visual Acuity at 6 weeks improved in 39 (78%); remained unchanged in 8 (16%) and worsened in 3 (6%).  Suturing of at least one of the ports was done in 18 eyes (36%).Intraoperative Retinal breaks occurred in 2 eyes. The Post operative complications noted in the post operative period up to 6 wks were vitreous hemorrhage (8%) ,cataract formation (6%),post operative uveitis (6%) and retinal  redetachment (2%). 1 case had to be converted into a 20 Gauge vitrectomy due to the development of choroidal effusion. Conclusion: 23 Gauge Transconjunctival Vitrectomy is an effective surgical technique for a variety of Vitreoretinal surgical indications. The safety and efficacy compared well with that in the published literature.