Three-port 20-gauge transconjunctival pars plana vitrectomy.

摘要

In this article, I report my experience evaluating the feasibility and safety of 20-gauge transconjunctival vitrectomy (TV). This new technique is a modification of the existing technique of placing and closing scle-rotomies for vitrectomy that reduces operating time, decreases postoperative inflammation, and improves postoperative recovery. In this retrospective nonrandomized study, 357 eyes of 332 patients underwent 20-gauge TV between November 2003 and March 2006. At first, only patients needing limited surgical intervention were recruited for the study, including those with epiretinal membranes, macular holes, vitreous hemorrhage with no tractional retinal detachment, and superior pseu-dophakic retinal detachments. Later, all patients were operated on in this way, including those with proliferative vitreoretinopathy, diabetes, dropped nuclei, and endophthalmitis (Table 1).