Comparison of 20-, 23-, and 25-Gauge Pars Plana Vitrectomy in Pseudophakic Rhegmatogenous Retinal Detachment Repair

Lewis, Shawn; Miller, Daniel M.; Riemann, Christopher D.; Foster, Robert E.; Petersen, Michael R.

doi:10.3928/15428877-20101223-02

Cited by 24 publications

(20 citation statements)

References 41 publications

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“…This result is comparable to those achieved by other techniques [3][4][5] . Similar results have been published by several authors 7,11,14,15,17 .…”

Section: Discussionsupporting

confidence: 81%

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25-gauge vitrectomy and gas for the management of rhegmatogenous retinal detachment

Veith

Stranak

Pencak

et al. 2019

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Aims. To evaluate the anatomical and functional results in patients with rhegmatogenous retinal detachment (RRD) who underwent 25-gauge pars plana vitrectomy (PPV) with gas tamponade. Materials and Methods. A retrospective evaluation of 126 eyes of 126 patients (79 men, 47 women) with RRD who underwent 25-gauge PPV with gas tamponade (13% C3F8 in 87 eyes, 20% SF6 in 39 eyes). 113 patients (89.7%), were operated on under local anaesthesia, 13 patients (10.3%) under general anaesthesia. Macula was detached in 85 eyes (67.5%). 53 eyes had pseudophakic RRD, 73 eyes were phakic. Anatomical success of the primary intervention, change in best corrected visual acuity (BCVA) and incidence of complications were assessed. An average follow-up period is 7.2 months (6-15). Results. With single operation, retinal attachment was achieved in 125 eyes (99.2%); the final anatomical success was 100%. The initial mean BCVA was 0.89 logMar (2.00 to 0.00); at the end of the follow-up period, it improved to 0.23logMAR (1.00 to -0.10), P < 0,0001. During the first post-intervention day, hypotony of the eye below 10 mmHg was observed in 1 patient (0.8%); on the contrary, intraocular pressure was temporarily increased to 25 mmHg and more in 36 patients (28.6%). Conclusion. The surgical treatment of RRD using 25-gauge PPV with expansive gas tamponade renders excellent anatomical results and improvement in BCVA. The incidence of complications and necessity of sclerotomy suturing are low.

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“…This result is comparable to those achieved by other techniques [3][4][5] . Similar results have been published by several authors 7,11,14,15,17 .…”

Section: Discussionsupporting

confidence: 81%

“…Contrary to some other vitreoretinal diseases, RRD requires a prompt surgical intervention 1,2 . Current intervention methods used are scleral buckling, pneumatic retinopexy and pars plana vitrectomy (PPV), the latter being performed either as a sole procedure or combined with scleral buckling [3][4][5] .…”

Section: Introductionmentioning

confidence: 99%

25-gauge vitrectomy and gas for the management of rhegmatogenous retinal detachment

Veith

Stranak

Pencak

et al. 2019

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…Results after 25-gauge TSV for RRD have been reported in several retrospective series and small non-comparative prospective studies (Mura et al 2009;Von Fricken et al 2009;Colyer et al 2010;Kobayashi et al 2010;Kunikata & Nishida 2010;Lewis et al 2011;Iwahashi-Shima et al 2013;dell'Omo et al 2013). Results after 25-gauge TSV for RRD have been reported in several retrospective series and small non-comparative prospective studies (Mura et al 2009;Von Fricken et al 2009;Colyer et al 2010;Kobayashi et al 2010;Kunikata & Nishida 2010;Lewis et al 2011;Iwahashi-Shima et al 2013;dell'Omo et al 2013).…”

Section: Discussionmentioning

confidence: 99%

Primary vitrectomy for rhegmatogenous retinal detachment in pseudophakic eyes: 20‐gauge versus 25‐gauge vitrectomy

Süßkind¹,

Neuhann

Hilgers

et al. 2016

Acta Ophthalmologica

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“…Numerous studies have favourably compared aspects of narrow-gauge surgery to traditional sutured 20g surgery [9,10,11]. Studies have also found a reduction in peripheral retinal break formation near the sclerostomy sites with the cannulated sclerostomies used in narrow-gauge systems [12,13].…”

Section: Introductionmentioning

confidence: 99%

23-Gauge versus 25-Gauge Vitrectomy for Proliferative Diabetic Retinopathy: A Comparison of Surgical Outcomes

2014

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Purpose: This study compared clinical outcomes and complications between 23-gauge (23g) and 25-gauge (25g) transconjunctival sutureless vitrectomy in patients with proliferative diabetic retinopathy. Study Design: It was a retrospective study using data prospectively defined and collected. 80 eyes underwent 23g transconjunctival sutureless vitrectomy, and 80 eyes underwent 25g surgery using the same vitrectomy system by one surgeon. Primary outcome measures were best-corrected visual acuity, intraocular pressure (IOP), and incidence of intraoperative and postoperative complications. Results: Vision was significantly improved after intervention in both groups (p ≥ 0.0001). There was no significant difference in visual outcomes between the groups (p = 0.43) or in the type and frequency of retinal breaks occurring during surgery (p = 0.63). The 23g group had significantly more patients with a day 1 IOP of <6 mm Hg (p = 0.034) and significantly more patients requiring a sclerostomy suture postoperatively (p = 0.014). Conclusion and Message: Both gauges are equally effective for the treatment of proliferative diabetic retinopathy.

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Comparison of 20-, 23-, and 25-Gauge Pars Plana Vitrectomy in Pseudophakic Rhegmatogenous Retinal Detachment Repair

Abstract: Twenty-, 23-, and 25-gauge instruments are equally effective options for primary repair of pseudophakic rhegmatogenous retinal detachment.

Cited by 24 publications

References 41 publications

25-gauge vitrectomy and gas for the management of rhegmatogenous retinal detachment

25-gauge vitrectomy and gas for the management of rhegmatogenous retinal detachment

Primary vitrectomy for rhegmatogenous retinal detachment in pseudophakic eyes: 20‐gauge versus 25‐gauge vitrectomy

23-Gauge versus 25-Gauge Vitrectomy for Proliferative Diabetic Retinopathy: A Comparison of Surgical Outcomes

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