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首页> 外文期刊>Ophthalmic surgery, lasers & imaging: the official journal of the International Society for Imaging in the Eye >Incidence of complications in 25-gauge transconjunctival sutureless vitrectomy based on the surgical indications.
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Incidence of complications in 25-gauge transconjunctival sutureless vitrectomy based on the surgical indications.

机译：在25的并发症发生率transconjunctival sutureless玻璃体切除术的基础上手术适应症。

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摘要

BACKGROUND AND OBJECTIVE: The complications of 25-gauge transconjunctival sutureless vitrectomy based on the surgical indications were reviewed. PATIENTS AND METHODS: Thirty-eight patients underwent 25-gauge transconjunctival sutureless vitrectomy. Indications for vitrectomy, preoperative and postoperative best-corrected visual acuity, preoperative and postoperative intraocular pressure, and any intraoperative or postoperative complications were recorded. RESULTS: Complications included the need to suture a leaking sclerotomy intraoperatively in four eyes (9%), all of which involved oil removal; postoperative hypotony with choroidals in two eyes (5%); mild progression of nuclear sclerotic cataract in one eye (2% of all eyes, 4% of phakic eyes); the need to switch to 20-gauge pars plana vitrectomy in one eye (2%); corneal abrasion in one eye (2%); and retinal detachment in one eye (2%). Sclerotomy leakage and hyopotony with choroidals were only encountered in cases involving previously vitrectomized eyes, whereas none of the eyes without previous vitrectomy had leakage-related complications. CONCLUSIONS: Previously vitrectomized eyes have a higher incidence of complications related to postoperative leakage, possibly due to the lack of plugging effect of peripheral vitreous on the unsutured sclerotomy. One should consider suturing any leaking sclerotomy at the conclusion of surgery involving previously vitrectomized eyes.
机译：背景和目的:并发症25 transconjunctival sutureless玻璃体切除术综述了基于手术适应症。患者和方法:38个病人经历了25 transconjunctival sutureless玻璃体切除术。术前和术后最佳矫正视力,术前和术后眼压、术中或术后并发症有记录。结果:并发症包括需要缝合巩膜切开术处理泄漏四眼(9%),其中包括所有的石油删除;在两只眼睛(5%);僵化的白内障在一只眼睛(眼睛的2%,4%phakic眼);一只眼(2%)术后玻璃体切除术;磨损的一只眼(2%);一只眼(2%)。只与脉络膜的中遇到的病例包括以前vitrectomized眼睛,而没有眼睛没有先前的玻璃体切除术leakage-related并发症。以前vitrectomized眼睛有更高相关并发症的发生率术后泄漏,可能由于缺乏外围玻璃的堵塞的影响unsutured巩膜切开术。任何泄漏缝合巩膜切开术的结论手术涉及以前vitrectomized眼睛

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