Comparison of Clinical Outcomes Between 23-Gauge and 20-Gauge Vitrectomy in Patients With Proliferative Diabetic Retinopathy

Park, Dong Ho; Shin, Jae Pil; Kim, Si Yeol

doi:10.1097/iae.0b013e3181d95261

Cited by 52 publications

(39 citation statements)

References 28 publications

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“…Transient hypotony of 23g has been noted in several other studies. Park et al [21] found 0% (66/101) of their 20g and 22% (45/101) of their 23g group to be under <8 mm Hg at day 1 postoperatively. Both Akçay et al [22] and Lott et al [23] similarly found high rates of transient hypotony in their 23g groups; 9.8% (34/350) and 10% (10/100) of the eyes treated with 23g had an IOP of <6 mm Hg 1 day postoperatively.…”

Section: Discussionmentioning

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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Section: Discussionmentioning

confidence: 99%

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

2014

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“…About ten years ago trans conjunctival sutureless 23 gauge vitrectomy started to replace conventional 20 gauge technique and offers comparable safety and efficacy as well as reduced surgerytimes and faster rehabilitation of patients [69] .…”

Section: Proliferative Diabetic Retinopathymentioning

confidence: 99%

Diabetic retinopathy - ocular complications of diabetes mellitus

Nentwich¹

2015

WJD

444

298

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In industrialized nations diabetic retinopathy is the most frequent microvascular complication of diabetes mellitus and the most common cause of blindness in the working-age population. In the next 15 years, the number of patients suffering from diabetes mellitus is expected to increase significantly. By the year 2030, about 440 million people in the age-group 20-79 years are estimated to be suffering from diabetes mellitus worldwide (prevalence 7.7%), while in 2010 there were 285 million people with diabetes mellitus (prevalence 6.4%). This accounts for an increase in patients with diabetes in industrialized nations by 20% and in developing countries by 69% until the year 2030. Due to the expected rise in diabetic patients, the need for ophthalmic care of patients (i.e., exams and treatments) will also increase and represents a challenge for eye-care providers. Development of optimized screening programs, which respect available resources of the ophthalmic infrastructure, will become even more important. Main reasons for loss of vision in patients with diabetes mellitus are diabetic macular edema and proliferative diabetic retinopathy. Incidence or progression of these potentially blinding complications can be greatly reduced by adequate control of blood glucose and blood pressure levels. Additionally, regular ophthalmic exams are mandatory for detecting ocular complications and initiating treatments such as laser photocoagulation in case of clinical significant diabetic macular edema or early proliferative diabetic retinopathy. In this way, the risk of blindness can considerably be reduced. In advanced stages of diabetic retinopathy, pars-plana vitrectomy is performed to treat vitreous hemorrhage and tractional retinal detachment. In recent years, the advent of intravitreal medication has improved therapeutic options for patients with advanced diabetic macular edema.

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“…[888990] Park et al . [91] reported comparable rates of postoperative bleed following 23 gauge (17%) versus 20-gauge (26%) vitrectomy. [91] Khuthaila et al .…”

Section: Role Of Preoperative Intravitreal Bevacizumabmentioning

confidence: 99%

Surgical management of diabetic retinopathy

Gupta

Arévalo

2013

Middle East Afr J Ophthalmol

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Surgery for late complications of proliferative diabetic retinopathy remains the cornerstone of management even in patients who have received optimal laser photocoagulation and medical therapy. With improvisation in the surgical techniques and development of micro-incision surgical techniques for vitrectomy, the indications for surgical intervention are expanding to include diabetic macular edema with a greater number of patients undergoing early intervention. This review describes the current indications, surgical techniques, adjunctive anti-vascular endothelial growth factor therapy, surgical outcomes, and postoperative complications of pars plana vitrectomy for proliferative diabetic retinopathy and macular edema.

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Comparison of Clinical Outcomes Between 23-Gauge and 20-Gauge Vitrectomy in Patients With Proliferative Diabetic Retinopathy

Abstract: Twenty three-gauge transconjunctival sutureless vitrectomy appears to be as effective for proliferative diabetic retinopathy as 20-gauge vitrectomy.

Cited by 52 publications

References 28 publications

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

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

Diabetic retinopathy - ocular complications of diabetes mellitus

Surgical management of diabetic retinopathy

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