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Wound leakage and hypotony after 25-gauge sutureless vitrectomy: Factors affecting postoperative intraocular pressure

Authors
 Suk Ho Byeon  ;  Young Ju Lew  ;  Min Kim  ;  Oh W. Kwon 
Citation
 OPHTHALMIC SURGERY LASERS & IMAGING , Vol.39(2) : 94-99, 2008 
Journal Title
OPHTHALMIC SURGERY LASERS & IMAGING
ISSN
 1542-8877 
Issue Date
2008
MeSH
Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Female ; Humans ; Intraocular Pressure* ; Male ; Microsurgery/methods ; Middle Aged ; Ocular Hypotension/etiology* ; Postoperative Complications* ; Risk Factors ; Surgical Wound Dehiscence/etiology* ; Suture Techniques ; Vitrectomy* ; Wound Healing*
Keywords
Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Female ; Humans ; Intraocular Pressure* ; Male ; Microsurgery/methods ; Middle Aged ; Ocular Hypotension/etiology* ; Postoperative Complications* ; Risk Factors ; Surgical Wound Dehiscence/etiology* ; Suture Techniques ; Vitrectomy* ; Wound Healing*
Abstract
BACKGROUND AND OBJECTIVE: To investigate the factors related to postoperative hypotony after 25-gauge sutureless vitrectomy.

PATIENTS AND METHODS: Of 109 consecutive eyes undergoing sutureless vitrectomy, 95 fluid-filled eyes were randomly assigned to three groups according to the order of infusion cannula removal. In group 1 (30 eyes), the infusion was removed first. In group 2 (32 eyes), the infusion was removed after another cannula. In group 3 (33 eyes), the infusion was removed last. Intraocular pressure (IOP) was measured on preoperative day 1 and postoperative days 1, 7, and 30.

RESULTS: Mean age was 58.9 +/- 11.6 years (range: 18 to 80 years). Among each factor (including order of infusion removal, age, sex, axial length, preoperative IOP, previous vitrectomy, indications for vitrectomy and lens status), only age was significantly correlated with IOP on postoperative day 1 (P = .019). In 13 eyes in which hypotony persisted through postoperative day 2 (IOP < or = 5 mm Hg), the age of the patients was significantly younger than those who did not experience persisting hypotony (P = .006).

CONCLUSION: Younger patients were more likely to experience early postoperative hypotony
Full Text
http://www.healio.com/ophthalmology/journals/osli/2008-3-39-2/%7Bd809ec85-ba5f-4c89-8092-c8bda4d78873%7D/wound-leakage-and-hypotony-after-25-gauge-sutureless-vitrectomy-factors-affecting-postoperative-intraocular-pressure
DOI
18435331
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Oh Woong(권오웅)
Kim, Min(김민) ORCID logo https://orcid.org/0000-0003-1873-6959
Byeon, Suk Ho(변석호) ORCID logo https://orcid.org/0000-0001-8101-0830
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107554
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