VISUAL OUTCOME OF 25-GAUGE INSTRUMENT SYSTEM FOR TRANSCONJUCTIVAL MICROINCISION VITRECTOMY SURGERY IN VARIOUS VITREORETINAL DISEASES.

Dr. Payal P Gonde, Dr. Sagar Aghadate

Abstract


OBJECTIVE-To evaluate the efficiency, safety, and feasibility of a 25-gauge instrument system for transconjunctival microincision vitrectomy surgery (MIVS) in a variety of vitreoretinal diseases.

MATERIAL AND METHOD: The medical records of 50 eyes that had undergone 25-gauge vitrectomy  for cases like Vitreous haemorrhage, retinal detachment ,subluxated cataract or IOL, Macular hole or PDR from 2016 to 2018 at Tertiary centre were included in the study. Intra- and post-operative complications were analyzed. The postoperative best corrected visual acuity (BCVA) was evaluated and recorded at the end of 6 months.

RESULT-. Mean age of distribution are 42.92 years in 25 gauge vitrectomy. Among 50 cases 35  are males  and 15 are females. There is significant difference in BCVA between  preoperatively and postoperatively. P value for pre operative to post operative vision in  25 -gauge vitrectomy is <0.05 i.e. there is definite improvement in vision.

CONCLUSION-25-gauge micro incision vitrectomy surgery (MIVS) is an effective sutureless pars plana vitrectomy surgery which has good visual outcome in various retinal condition with minimum manageable complications.


Keywords


Microincision vitrectomy surgery (MIVS),Transconjunctival sutureless vitrectomy (TSV),Pars plana vitrectomy(PPV)

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