PURPOSE:: To evaluate the efficacy of bipolar diathermy in ensuring closure of leaking sclerotomies after complete 23-gauge transconjunctival sutureless vitrectomy. METHODS:: In this prospective, interventional case series, in 136 eyes of 136 patients with at least one leaking sclerotomy at the end of a complete 23-gauge transconjunctival sutureless vitrectomy, external bipolar wet-field diathermy was applied to leaking sclerotomies, including the conjunctiva and sclera. Intraoperative wound closure, and postoperatively, at 6 hours, 1 day and 3 days, sclerotomies leakage, intraocular pressure, hypotony, and hypotony-related complications were evaluated. RESULTS:: Intraoperative closure was achieved in 231 of 238 leaking sclerotomies (97%) that received diathermy. One of these with postoperative leakage needed suture. Compared with baseline (14.4 ± 2.8 mmHg), mean intraocular pressure was lower at 6 hours (13.2 ± 3.8 mmHg, Tukey-Kramer P < 0.001) and not different at 24 hours or 72 hours. Hypotony (intraocular pressure <5 mmHg) was observed in 6 eyes (4.5%) at 6 hours, in 2 (1.5%) at 24 hours, and in none at 3 days. Logistic regression analysis showed that, 6 hours postoperatively, hypotony was related to younger age (≤50 years) at surgery (P = 0.031). No hypotony-related complications were recorded. CONCLUSION:: Bipolar wet-field diathermy of sutureless sclerotomies is an effective method for ensuring a leaking sclerotomies closure.

DIATHERMY OF LEAKING SCLEROTOMIES AFTER 23-GAUGE TRANSCONJUNCTIVAL PARS PLANA VITRECTOMY: A PROSPECTIVE STUDY / Reibaldi, M; Longo, A; Reibaldi, A; Avitabile, T; Pulvirenti, A; Lippolis, G; Mininni, F; La Tegola, Mg; Sborgia, L; Recchimurzo, N; Sborgia, C; Boscia, Francesco. - In: RETINA. - ISSN 0275-004X. - 33:5(2013), pp. 939-945.

DIATHERMY OF LEAKING SCLEROTOMIES AFTER 23-GAUGE TRANSCONJUNCTIVAL PARS PLANA VITRECTOMY: A PROSPECTIVE STUDY.

BOSCIA, Francesco
2013-01-01

Abstract

PURPOSE:: To evaluate the efficacy of bipolar diathermy in ensuring closure of leaking sclerotomies after complete 23-gauge transconjunctival sutureless vitrectomy. METHODS:: In this prospective, interventional case series, in 136 eyes of 136 patients with at least one leaking sclerotomy at the end of a complete 23-gauge transconjunctival sutureless vitrectomy, external bipolar wet-field diathermy was applied to leaking sclerotomies, including the conjunctiva and sclera. Intraoperative wound closure, and postoperatively, at 6 hours, 1 day and 3 days, sclerotomies leakage, intraocular pressure, hypotony, and hypotony-related complications were evaluated. RESULTS:: Intraoperative closure was achieved in 231 of 238 leaking sclerotomies (97%) that received diathermy. One of these with postoperative leakage needed suture. Compared with baseline (14.4 ± 2.8 mmHg), mean intraocular pressure was lower at 6 hours (13.2 ± 3.8 mmHg, Tukey-Kramer P < 0.001) and not different at 24 hours or 72 hours. Hypotony (intraocular pressure <5 mmHg) was observed in 6 eyes (4.5%) at 6 hours, in 2 (1.5%) at 24 hours, and in none at 3 days. Logistic regression analysis showed that, 6 hours postoperatively, hypotony was related to younger age (≤50 years) at surgery (P = 0.031). No hypotony-related complications were recorded. CONCLUSION:: Bipolar wet-field diathermy of sutureless sclerotomies is an effective method for ensuring a leaking sclerotomies closure.
DIATHERMY OF LEAKING SCLEROTOMIES AFTER 23-GAUGE TRANSCONJUNCTIVAL PARS PLANA VITRECTOMY: A PROSPECTIVE STUDY / Reibaldi, M; Longo, A; Reibaldi, A; Avitabile, T; Pulvirenti, A; Lippolis, G; Mininni, F; La Tegola, Mg; Sborgia, L; Recchimurzo, N; Sborgia, C; Boscia, Francesco. - In: RETINA. - ISSN 0275-004X. - 33:5(2013), pp. 939-945.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11388/82617
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