Patients undergoing 23G vitrectomy for epiretinal membrane, macular hole, vitreomacular traction, vitreous hemorrhage, vitreous opacities, diabetic retinopathy, or retinal detachment.
Conditions
Interventions
Group 1: Controll group: Patients undergoing 23-gauge vitrectomy. After trocar removal and a waiting period of 3 minutes, sclerotomies are checked for leakage. Leaking sclerotomies are sutured with Vi
Sponsors
SLK-Kliniken Heilbronn
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Planned vitrectomy with or without phacoemulsification in adults (indications: epiretinal membrane, macular hole, vitreous hemorrhage, vitreous opacities, retinal detachment) Informed consent for study participation
Exclusion criteria
Exclusion criteria: Previous vitrectomy Complicated procedures with vitreoretinal surgery time (time between trocar insertion and removal) exceeding 60 minutes Myopia of 10 diopters or more, or axial length of 26 mm or more Combined vitreoretinal and scleral buckling surgery Use of silicone oil tamponade Vitrectomy for endophthalmitis 4-port vitrectomy Additional surgical procedures on the conjunctiva requiring sutures
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of leaking/sutured sclerotomies per patient. Immediately postoperative, as well as during the postoperative period, should additional suturing be required. Scoring system according to the number of leaking sclerotomies per eye (0-3). | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraocular pressure at timepoints T0 (preoperative), T1 (immediately postoperative), T2 (24h postoperative), T3 (discharge, 2-4 days), T4 (10-14 days postoperative), T5 (4 weeks postoperative) Hypotony rate (intraocular pressure <6 mmHg at any postoperative timepoint), clinical signs of hypotony Discomfort: pain and foreign body sensation on visual analog scale (0-10) at timepoints T2, T3, T4, T5 Endothelial cell count at timepoints T0, T5 Sclerotomy closure or gaping, measured by anterior segment OCT | — |
Countries
Germany
Contacts
Public ContactLutz Hesse
SLK-Kliniken Heilbronn
Outcome results
None listed