タカハシ　カンジ   TAKAHASHI KANJI   髙橋　寛二    所属   関西医科大学  眼科学講座    職種   非常勤講師
言語種別	日本語
発表タイトル	Results of the combined micro incision surgery of the 25-gauge vitrectomy and 23-gauge cataract surgery.
会議名	APVRS
学会区分	全国規模の学会
発表者・共同発表者	◎Taomoto M, Tateno H, Saisho C, Nishimura T, Takahashi K
発表年月日	2013/12
開催地 （都市, 国名）	名古屋
概要	[Purpose] To report the results of examination of the combined micro incision surgery of the 25-gauge vitrectomy and 23-gauge cataract surgery for various diseases. [Patients and method] Thirty over 50 years old patients with vitreoretinal disease and cataracts underwent the combined 25-gauge vitrectomy and 23-gauge cataract surgery. The cases included 12 cases of Epiretinal membrane, 10 cases of macular hole, and 8 cases of rhegmatogenous retinal detachment. The surgical method was the 25-gauge micro incision vitrectomy with 23-gauge phacoemulsification & aspiration + IOL implantation through the 1.8mm corneal incision. The main outcome measures included astigmatic change after surgery and intraoperative and postoperative complications. [Result] The case that needed hydration to a corneal wound by intraoperative leak was 25 eyes out of 30 eyes (83.3%). There was no case that needed the suture of the corneal wound. There were only 3 ports during all 90 ports of 30 cases that needed the suture of the scleral wound (5.5%). The postoperative complications such as low intraocular pressures did not accept. The average change of astigmatism quantity after surgery was very small, with 0.38D in one week, 0.42D in three months, and there was little change over time. I did not recognize the significant difference by having suture or not, and having hydration or not. [Conclusion] The combined micro incision surgery of the 25-gauge vitreous surgery and 23-gauge cataract surgery was useful, and the meaningful complications did not accept it.