Our Summary
This research paper is about a study on a new technique used to close very small holes (23-gauge sclerotomies) made in the white part of the eye (sclera) during a certain type of eye surgery called transconjunctival pars plana vitrectomy.
The researchers tested the new technique on 90 patients. They found that only about 3% of the patients needed a suture (or stitch) to close the hole after surgery. They also found that only about 1.4% of the total holes made during the surgeries needed a suture.
In the days following surgery, they didn’t notice any significant changes in the pressure inside the patients’ eyes. They also didn’t find any leaking from the small plastic bubble (endotamponade bubble) used during surgery to help keep the retina in place. Furthermore, they didn’t notice any complications after the surgery.
The conclusion is that this new method of closing the small holes made during surgery is simple and quick, and doesn’t require any extra surgical materials.
FAQs
- What is the new technique used to close small holes during transconjunctival pars plana vitrectomy?
- What were the results of the study regarding the need for sutures post-surgery?
- Did the researchers observe any complications or significant changes in the patients’ eyes after the surgery using this new technique?
Doctor’s Tip
A doctor might tell a patient undergoing vitrectomy that the new technique for closing small holes in the eye during surgery has been found to be effective and safe, with a low rate of needing sutures. This can provide reassurance to the patient about the procedure and its outcomes.
Suitable For
Patients who may be recommended for vitrectomy include those with conditions such as:
- Retinal detachments
- Macular holes
- Epiretinal membranes
- Diabetic retinopathy
- Vitreous hemorrhage
- Vitreous floaters
- Infections or inflammation in the eye
- Trauma to the eye
It is important for patients to discuss their specific eye condition with their ophthalmologist to determine if vitrectomy is the appropriate treatment option for them.
Timeline
Before vitrectomy:
- Patient meets with eye doctor to discuss the need for vitrectomy surgery
- Patient undergoes pre-operative testing and evaluation
- Patient is instructed on pre-operative care and preparation for surgery
- Surgery is scheduled and patient arrives at the hospital or surgical center
- Anesthesia is administered and surgery begins
After vitrectomy:
- Patient wakes up in the recovery room and is monitored for any immediate complications
- Patient may experience some discomfort, blurry vision, and sensitivity to light in the days following surgery
- Patient is given post-operative instructions for care and follow-up appointments
- Patient may need to wear an eye patch and use eye drops for a period of time
- Patient attends follow-up appointments to monitor healing and recovery progress
- Patient gradually resumes normal activities and vision improves over time
What to Ask Your Doctor
- What is a vitrectomy and why do I need it?
- What are the risks and benefits of having a vitrectomy?
- What is the success rate of this new technique for closing small holes in the eye?
- What are the potential complications associated with this new technique?
- How long is the recovery time after a vitrectomy using this new technique?
- Will I need any follow-up appointments after the surgery?
- Are there any specific instructions or restrictions I need to follow after the surgery?
- How will this new technique impact my vision and overall eye health in the long term?
- Are there any alternative treatments or techniques available for my condition?
- Can you provide more information on the endotamponade bubble used during the surgery and how it helps in the healing process?
Reference
Authors: Rizzo S, Pacini B, De Angelis L, Barca F, Savastano A, Giansanti F, Caporossi T. Journal: Retina. 2022 Dec 1;42(12):2414-2418. doi: 10.1097/IAE.0000000000002703. Epub 2020 Jan 10. PMID: 31929415