Premium
Evaluation of wound architecture in oblique 20‐gauge sutureless transconjunctival sclerotomies with VisanteTM optical coherence tomography
Author(s) -
MANGIORIS G,
MENDRINOS E,
PAPADOPOULOU DN,
POURNARAS CJ
Publication year - 2010
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2010.284.x
Subject(s) - optical coherence tomography , medicine , cannula , apposition , ophthalmology , pars plana , surgery , oblique case , vitrectomy , anatomy , visual acuity , linguistics , philosophy
Purpose To investigate the in vivo real‐time wound morphology of 20‐gauge transconjunctival sutureless oblique sclerotomy wounds with anterior segment optical coherence tomography (OCT). Methods Subjects underwent three‐port pars plana vitrectomy with a 20‐gauge trocar/cannula microincision surgical system (Synergetics™) . All incisions were created in an oblique fashion (10º) and were imaged with the Visante OCT device on postoperative days 0, 1 and 8. Results Thirty patients were included. Slit‐lamp examination revealed no evidence of leakage from the sclerotomy sites. Visante OCT demonstrated closed wounds in all eyes on postoperative days 0, 1 and 8. Conclusion This study demonstrates that 20 gauge sutureless transconjunctival oblique incisions provide adequate wound apposition as shown by OCT even at the day of operation.