Outcomes of 77 Consecutive Cases of 23-Gauge Transconjunctival Vitrectomy Surgery for Posterior Segment Disease

Purpose To describe the initial experience, effectiveness, and safety profile of 23-gauge instrumentation for a variety of vitreoretinal conditions. Design Single-center, retrospective, noncomparative, consecutive interventional case series. Participants Seventy-seven eyes of consecutive patients who underwent 23-gauge transconjunctival vitrectomy surgery by a single surgeon at the Manhattan Eye, Ear, and Throat Hospital from October 2004 through October 2005. Intervention All patients underwent 3-port 23-gauge vitrectomy using Dutch Ophthalmic Research Corporation instrumentation and an Alcon Accuris Vitrector. Main Outcome Measures Postoperative visual acuity at months 1 and 3, intraoperative and postoperative complications, and operative time. Results Mean acuity improved from 20/190 at baseline to 20/108 ( P