To describe a modified technique for performing sutureless sclerotomies for pa rs plana vitrectomy and to examine its efficacy and safety. Retrospective, inter ventional case series. Selfsealing sclerotomies were crea...To describe a modified technique for performing sutureless sclerotomies for pa rs plana vitrectomy and to examine its efficacy and safety. Retrospective, inter ventional case series. Selfsealing sclerotomies were created in 35 consecutive c ases by oblique penetration of the sclera with a 19G MVR blade. All but two (2.9 %) of the sclerotomies were watertight without suturing at the end of surgery. A conjunctival bleb was observed during the first postoperative week in one case , but it resolved without intervention. Construction of sutureless sclerotomies by this technique is simpler and more rapid compared with previously described t echniques. The resulting sclerotomies are more resistant to stretching and teari ng of the tunnel’s roof, they rarely need suturing, and insertion of instrument s is facilitated.展开更多
文摘To describe a modified technique for performing sutureless sclerotomies for pa rs plana vitrectomy and to examine its efficacy and safety. Retrospective, inter ventional case series. Selfsealing sclerotomies were created in 35 consecutive c ases by oblique penetration of the sclera with a 19G MVR blade. All but two (2.9 %) of the sclerotomies were watertight without suturing at the end of surgery. A conjunctival bleb was observed during the first postoperative week in one case , but it resolved without intervention. Construction of sutureless sclerotomies by this technique is simpler and more rapid compared with previously described t echniques. The resulting sclerotomies are more resistant to stretching and teari ng of the tunnel’s roof, they rarely need suturing, and insertion of instrument s is facilitated.
