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Lee, Na, Lee, Jin, and Lee: Complication Incidence of Day Surgeries with 23 Gauge Vitrectomy
Original Article
Journal of the Korean Ophthalmological Society

Journal of the Korean Ophthalmological Society 2012; 53(12): 1823-1827.

Published online: 17 December 2012

DOI: https://doi.org/10.3341/jkos.2012.53.12.1823

Complication Incidence of Day Surgeries with 23 Gauge Vitrectomy

Gun Woong Lee, MD1, Sung Jin Na, MD2, Young Hoon Lee, MD1, Sun Young Jin, MD1, Tae Gon Lee, MD1

1Department of Ophthalmology, Konyang University College of Medicine, Daejon, Korea.

2Eye Love Eye Center, Daejon, Korea.

Address reprint requests to Tae Gon Lee, MD. Department of Ophthalmology, Konyang University Hospital, #158 Gwanjeodong-ro, Seo-gu, Daejeon 302-812, Korea. Tel: 82-42-600-9258, Fax: 82-42-600-9176, idoc@kimeye.com

Received 15 January 2012       Accepted 29 October 2012

Copyright © 2012 The Korean Ophthalmological Society

Abstract

Purpose

To evaluate the complication incidence of 23-gauge pars plana vitrectomy day surgery.

Methods

A retrospective review was conducted on 79 eyes that underwent 23-gauge pars plana vitrectomy day surgery from September 2009 to September 2010. The main outcome measures included changes in best corrected visual acuity (BCVA), intraocular pressure (IOP), and presence of postoperative complications after the day surgery.

Results

The mean preoperative log MAR BCVA improved from 1.32 ± 0.96 to 0.40 ± 0.41 at 3 months after surgery (p < 0.05). There was no significant differences between the mean preoperative IOP and IOP on the 1st day after surgery (p > 0.05). At the end of surgery, suture placement was required for sclerotomy site leakage in 4 eyes (5.1%). There were 10 eyes (12.7%) with postoperative complications, including 7 eyes with increased IOP (8.9%), hypotony in 2 eyes (2.6%) and vitreous hemorrhage in 1 eye (1.3%), with no case requiring reoperation.

Conclusions

The patients who underwent 23-gauge pars plana vitrectomy day surgery achieved visual improvement without serious complications postoperatively.

Keywords: Day Surgery, 23-gauge Vitrectomy

Figures and Tables

Table 1
Patients' demographics of day surgery of 23G PPV
jkos-53-1823-i001

23G PPV = 23-gauge transconjuctival pars plana vitrectomy.

Table 2
Indications for day surgery of 23G PPV
jkos-53-1823-i002

23G PPV = 23-gauge transconjuctival pars plana vitrectomy; VH = vitreous hemorrhage; PDR = proliferative diabetic retinopathy; PVR = proliferative vitreoretinopathy.

*Intermediate uveitis, asteroid hyalosis, posterior vitreous detachment.

Table 3
Mean visual acuity change
jkos-53-1823-i003

*Paired student t-test p-value < 0.05.

Table 4
Mean intraocular pressure (IOP) change
jkos-53-1823-i004

*Paired student t-test p-value > 0.05.

Table 5
Complications of day surgery of 23G PPV
jkos-53-1823-i005

23G PPV = 23-gauge transconjuctival pars plana vitrectomy.

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