Setting:

Vitreoretinal department, clinique Sourdille, Nantes, France

Purpose:

Although transconjunctical sutureless vitrectomy is a major step forward in vitreoretinal surgery when compared to 20 gauge vitrectomy, it has its own set of complications and shortcomings. We present in this film a series of complications we could record during the last five years.

Methods:

We selected an anthology of complications and shortcomings specific of 23 gauge sutureless vitrectomy performed by two surgeons.

Results: 

Main complications were due to 1) the fragility of the instruments, 2) the leakage of the non sutured sclerotomies, 3) unwanted movements of the trocar or instruments, and 4) the limited supply of instruments dedicated to trans conjunctival vitrectomy.

Discussion:

23 gauge vitrectomy has still to be improved and is not free of complications. However, most of them are infrequent and without serious consequences on the outcome of the surgery.