OBJECTIVE To evaluate the visual outcomes of 27-gauge transconjunctival sutureless vitrectomy surgery and its complications in patients with diabetic vitreous hemorrhage. METHODS A quasi-experimental study was conducted where eighty seven eyes of 87 uncontrolled type II diabetes mellitus patients presenting with diabetic vitreous hemorrhage were selected to undergo 27-gauge transconjunctival ...

Aim of Study: To assess the preoperative risk factors implicated in increasing the risk of surgical failure in primary retinal detachment surgery using the 23-G vitrectomy platform. Methods: Eighty eyes suffering from primary rhegmatogenous retinal detachment were treated with 23-gauge transconjunctival vitrectomy. A comprehensive ophthalmological examination including the duration of the detac...

Background Access to the intraorbital optic nerve segment can be facilitated via a transcranial approach that allows access to the entire orbital cavity. The endoscopic endonasal approach (EEA) combined with a transconjunctival-medial orbitotomy represents an alternative technique to achieve the same goal. Objective Report a surgical technique that allows total resection of the intraorbital opt...

OBJECTIVE To develop and evaluate a minimally invasive technique of lateral orbitotomy that provides improved orbital access with fewer complications. METHODS A cadaver study was undertaken to develop a technique of transconjunctival lateral orbitotomy that preserves the structural integrity of the eyelid support system and provides extended access to the orbit from floor to roof. We then eva...

The aim of this article is to investigate a retrocaruncular approach for repairing medial orbital wall fractures. A total of 10 fresh cadaver orbits were dissected to investigate a transconjunctival approach to the orbit posterior to the caruncle. Medical records of consecutive patients with medial orbital wall fractures repaired via a retrocaruncular incision at Wilmer Eye Institute over a 10-...

PURPOSE To present a case of total Descemet's membrane detachment (DMD) after trabeculectomy and its surgical management. CASE REPORT A 68-year-old woman presented with large DMD and corneal edema one day after trabeculectomy. Intracameral air injection on day 3 was not effective. Choroidal effusion complicated the clinical picture with Descemet's membrane (DM) touching the lens. Choroidal ta...

BACKGROUND/AIM To elucidate the early surgical advantages of a 23-gauge trocar combined with a one-directional valve system in transconjunctival pars plana vitrectomies. MATERIALS AND METHODS Early surgical results of 432 eyes of 432 patients (190 female and 242 male) who underwent 23-gauge (23G) transconjunctival sutureless vitrectomies (TSV) were evaluated. Sixty-three patients out of 432 u...

PURPOSE To report the technique and astigmatic results of the blue line cataract incision. SETTING The Buzzard Eye Institute, Las Vegas, Nevada, USA. METHODS This prospective study included 411 eyes of 271 patients who had cataract extraction by phacoemulsification with a self-sealing 3.0 mm blue line cataract incision. The blue line incision is performed with a diamond knife transconjuncti...

PURPOSE To identify if isolated surgical violation of the orbital septum predisposes to "middle lamellar" scarring and subsequent postblepharoplasty lower eyelid retraction. METHODS A retrospective review of patients who underwent transconjunctival blepharoplasty in either a postseptal (orbital septum undisturbed) or preseptal (septal incision required) plane was performed. Patients undergoin...

BACKGROUND The influence of orbital fractures and their repair on the rate of deformities of the lower eyelid is an ongoing source of discussion in the literature. Most of the present studies include isolated blow-out as well as combined orbital fractures. MATERIAL AND METHODS We present a retrospective evaluation of a series of 100 patients after isolated blow-out fracture repair using refer...