Abstract

SIQUEIRA, Rubens Camargo; GIL, Aline Degasperi Cote  and  JORGE, Rodrigo. Retinal detachment surgery with silicone oil injection in transconjunctival sutureless 23-gauge vitrectomy . Arq. Bras. Oftalmol. [online]. 2007, vol.70, n.6, pp. 905-909. ISSN 0004-2749.  http://dx.doi.org/10.1590/S0004-27492007000600004.

PURPOSE: To report a surgical technique for retinal detachment surgery using transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection. METHODS: Thirty-one patients with retinal detachment underwent vitreoretinal surgery using a transconjunctival sutureless 23-gauge vitrectomy system. At the end of the procedure silicone oil was injected into all eyes through a microcannula. After removing the microcannula, a bipolar cautery was used in the conjunctiva over the wound to prevent silicone oil reflux. RESULTS: In all patients retinal reattachment and injection of silicone oil through transconjunctival sutureless 23-gauge vitrectomy system was possible. Retinal re-detachment occurred in 8 patients (25.80%) who were submitted to a new vitreoretinal surgery by the technique described above, however, more extensive retinotomy was necessary in all cases, specially inferiorly. Three patients (9.67%) presented silicone oil leakage in subconjuntival compartment. Another surgical procedure was necessary to remove the subconjuntival silicone oil. CONCLUSIONS: The retinal detachment surgery with silicone oil injection in transconjunctival sutureless 23-gauge vitrectomy is a safe and efficient technique to repair retinal detachment and it has the advantage of being minimally invasive.

Keywords : Retinal detachment [surgery]; Vitrectomy; Ophthalmologic surgical procedures [methods]; Silicone oils [therapeutic use]; Surgical procedures [minimally invasive].