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We practiced a very low threshold for applying sutures whenever we felt that the sclerotomy site is incompetent.
In 23 G system, rigid cannulae are passed into sclerotomy wound that keeps it open all the time so oil easily flow out passively.
[3] In 20 gauge pars plana vitrectomy astigmatic effect might have been induced by sclerotomy wound suturing.
Intraoperative data included operative time, complications, sclerotomy site leakage, and suture rate of sclerotomy wounds.
One of the major problem was the development of iatrogenic retinal breaks specifically at sclerotomy site.
There are many types of intraocular surgeries such as phacoemulsification, trabeculectomy, deep sclerotomy, viscocanalostomy, holmium laser sclerostomy, deep anterior lamellar keratoplasty, endothelial keratoplasty, intracorneal ring segment implantation, and pars plana vitrectomy, that are known to result in DMD.
The infusion cannula was sutured in the inferotemporal sclerotomy site.
Such results are associated with insufficient tightness in any unsutured 23-gauge sclerotomy, causing early postoperative microleakage.
Manipulation of the haptic to pull it through the sclerotomy can cause physical damage to the haptic and can compromise the long-term stability of the IOL.
Chang in 2001 described a single-port-limited pars plana vitrectomy without infusion cannula using a 20-gauge vitrectomy probe inserted through a sclerotomy incision 3.5 mm from the limbus for management of crowded eyes in phacoemulsification [2].