Frequency of post-operative hypotony after 23-gauge transconjunctival vitrectomy with locally made instruments

J Pak Med Assoc. 2019 Jul;69(7):1032-1034.

Abstract

The objective of this study was to discern the frequency of post-operative hypotony after 23-gauge vitrectomy with locally made instruments. This study was conducted at the Department of Ophthalmology, Lahore General Hospital, Lahore from July 2012 to June 2016. A total of 300 patients underwent 23-gauge pars-plana vitrectomy. Locally made 23-gauge trocar cannula system was used in all the patients. Post-operative Intraocular Pressure(IOP) was measured using Goldman Applanation Tonometer on the first post-operative day. IOP of less than 06mmHg was termed as hypotonic. In our study, mean post-operative intraocular pressure was recorded as 8.32±3.04mmHg and frequency of post-operative hypotony after 23-guage vitrectomy with locally made instruments reveals 10.67% (n=32) while 89.33% (n=268) had no findings of hypotony. We concluded that the frequency of post-operative hypotony after 23-gauge vitrectomy with locally made instruments is slightly higher when compared with other studies and this instrument can be used for further surgeries.

Keywords: 23- gauge vitrec tomy, Loc ally made instruments, Post-operative hypotony, Frequency..

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Equipment Design
  • Female
  • Humans
  • Intraocular Pressure / physiology
  • Male
  • Middle Aged
  • Ocular Hypotension* / epidemiology
  • Ocular Hypotension* / etiology
  • Postoperative Complications / epidemiology*
  • Vitrectomy* / adverse effects
  • Vitrectomy* / instrumentation
  • Vitrectomy* / statistics & numerical data
  • Young Adult