Outcomes of transconjunctival sutureless 27-gauge micro-incision vitrectomy surgery in diabetic vitreous haemorrhage

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 sutureless micro-incision vitrectomy surgery. main outcome measured was best corrected visual acuity (bcva). post-operative complications were also screened for at each visit. the follow ups were at post-operative day one,one month,three months and six months respectively. results: out of 87 patients,52 (59.8%) were males and 35 (40.2%) were females. the mean age of the patients was 52.32 ± 6.78 years (95% ci: 53.13 - 55.57). for most of the patients,the bcva improved progressively with each subsequent follow up visit. pre-operative bcva was 1.01 ± 0.206 logmar,compared to bcva at final follow up of 0.44 ± 0.231 (p-value < 0.001). six (6.9%) patients developed recurrent vitreous hemorrhage during the study period,four (4.6%) developed cataract,one (1.1%) had increased intraocular pressure and sub conjunctival hemorrhage was present in two (2.3%). conclusion: 27-gauge micro-incision vitrectomy surgery is an effective sutureless surgery with favorable outcomes,in terms of vision,in patients with diabetic vitreous hemorrhage. the associated complications are few which can be easily managed. © 2017,professional medical publications. all rights reserved.