View abstract

Cet abstract a été assigné à session OB Free papers: Surgical retina

Titre	Modified sutureless 20G transconjunctival pars planan sclerotomy
Abstract Nr.	253

But	To describe a new type of 20-gauge trans-conjunctival pars plana sclerotomy
Méthodes	Chart review of 181 consecutive patients) who underwent trans-conjunctival sclerotomy for various vitreo-retinal conditions : idiopathic epiretinal membrane, idiopathic macular hole, tractional retinal detachment, rhematogen retinal detachment, non clearing vitreous hemorrhage, proliferative vitreous retinopathy, retained lens fragment, dropped nucleus, silicone oil removal and endophthalmitis. Main outcome measures included time of setting, number of sutures and counter-incision required per eye and per sclerotomy, patient demographics, diagnosis, and types of procedures, postoperative intraocular pressure and both intra-operative and postoperative complications.
Résultats	There were 71 women and 110 men. The mean age was 59.63 years.Mean opening time was 68 seconds. The suture rate per eye was 20% ( 38 eyes out of 181) The suture rate per sclerotomy was 9%.(49/543) Thirty four eyes did not require counter incision techniques.The counter-incision rate per sclertomy was 48%(266/543).Mean IOP was 17.7 mmHg. In total indications for surgery were rhematogen retinal detachment (106),mixed retinal detachment (2), tractional retinal detachment (3), endophthalmitis (2), dyalisis (1), removal of silicone oil (18), vitreous hemorrhage (14), epiretinal membrane (15), subluxated lens (3), luxated lens (6), macular hole (7) and one combined retinal detachment and p phakoemulsification (3).Two subgroups were analyzed. Group 1 includes procedures with injection or removal of silicone oil and fragmatome. Group 2 encompass all other procedures except the one with silicone oil or fragmatome.
Conclusion	This novel technique appears safe and reproductible.

Auteur 1

Nom	STANESCU
Initiales	D
Institut	UZ Brussel
Ville	Bruxelles

Auteur 2

Nom	SEBAG
Institut	CHUM
Ville	Montreal

Auteur 3

Nom	Hendrikse
Initiales	F
Institut	UZ Brussels
Ville	Bruxelles