27-gauge vitrectomy for posterior segment eye disease: experience at a tertiary care center in Kashmir, India

Background: The aim of this work was to study the clinical outcomes, operative time, and complications 27-gauge (27G) microincision vitrectomy surgery in posterior segment eye disease (PSED). Material methods: This prospective observational conducted at a tertiary care hospital Kashmir, India. 27G transconjunctival sutureless performed on 101 eyes patients with PSED. Results: Of patients, pars plana indicated for retinal detachment (RD) (n = 36, 35.7%), vitreous hemorrhage 35, 34.7%), epiretinal membrane (ERM)/vitreomacular traction (VMT) 16, 15.9%), macular hole 7, 6.9%), endophthalmitis 4, 3.9%) intraocular lens drop 3, 2.9%). We observed significant improvement mean logMAR visual acuity all indications (p < 0.05 each). Tamponade agents used were fluid 51, 50.5%), silicone oil 30, 29.7%), SF6 gas 15, 14.85%), C3F8 2.97%) air 2, 1.98%). pressure (IOP) increased significantly cases where as tamponade Mean IOP initially first postoperative day followed by gradual decline. Overall, operating time 37.08 minutes duration removal 22.41 minutes. Intraoperative included suprachoroidal 1, 0.99%) inadvertent breaks 0.99%). Postoperative transient hypotony 1.98%), ocular hypertension 12, 11.88%), 2.97%), recurrent RD emulsification 2.97%). Conclusions: system safe effective treating broad spectrum Minimal good outcomes warrant wider adoption technique.