Pars plana vitrectomy for the repair of primary, inferior rhegmatogenous retinal detachment associated to inferior breaks. A comparison of a 25-gauge versus a 20-gauge system

Background To compare anatomical, functional outcomes and complications of high-speed 25-gauge (G) pars plana vitrectomy (PPV) versus 20-G PPV for the management of primary inferior rhegmatogenous retinal detachment (RRD) associated to inferior breaks/holes. Methods Eighty-five eyes from 85 patients...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2013-02, Vol.251 (2), p.485-490
Hauptverfasser: dell’Omo, Roberto, Barca, Francesco, Tan, H. Stevie, Bijl, Heico M., Oberstein, Sarit Y. Lesnik, Mura, Marco
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container_title Graefe's archive for clinical and experimental ophthalmology
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creator dell’Omo, Roberto
Barca, Francesco
Tan, H. Stevie
Bijl, Heico M.
Oberstein, Sarit Y. Lesnik
Mura, Marco
description Background To compare anatomical, functional outcomes and complications of high-speed 25-gauge (G) pars plana vitrectomy (PPV) versus 20-G PPV for the management of primary inferior rhegmatogenous retinal detachment (RRD) associated to inferior breaks/holes. Methods Eighty-five eyes from 85 patients with a minimum follow-up of 3 months were retrospectively evaluated. Forty-one patients underwent 25-G and 44 patients underwent 20-G PPV. All patients underwent PPV with fluid-air exchange, sulfur hexafluoride (SF6) 20 % gas tamponade and laser or cryo retinopexy. Results The mean follow-up interval was 6.51(±2.32) and 6.63 (±2.58) months in the 25-G and 20-G groups respectively. Single-operation success rate was 92.7 % for the 25-G group and 81.8 % for the 20-G group ( P  = 0.24). Post-operative hypotony was observed in no case. Redetachment occurred in 3 eyes operated on with 25-G and in 8 eyes operated on with 20-G system. All retinas were attached at final follow-up. Logarithm of the minimum angle of resolution visual acuity significantly improved from 0.69 ± 0.76 to 0.33 ± 0.37 in the 25-G and from 0.47 ± 0.59 to 0.21 ± 0.28 in the 20-G group ( P  = 0.0007 and P  
doi_str_mv 10.1007/s00417-012-2059-8
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A comparison of a 25-gauge versus a 20-gauge system</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>dell’Omo, Roberto ; Barca, Francesco ; Tan, H. Stevie ; Bijl, Heico M. ; Oberstein, Sarit Y. Lesnik ; Mura, Marco</creator><creatorcontrib>dell’Omo, Roberto ; Barca, Francesco ; Tan, H. Stevie ; Bijl, Heico M. ; Oberstein, Sarit Y. Lesnik ; Mura, Marco</creatorcontrib><description>Background To compare anatomical, functional outcomes and complications of high-speed 25-gauge (G) pars plana vitrectomy (PPV) versus 20-G PPV for the management of primary inferior rhegmatogenous retinal detachment (RRD) associated to inferior breaks/holes. Methods Eighty-five eyes from 85 patients with a minimum follow-up of 3 months were retrospectively evaluated. Forty-one patients underwent 25-G and 44 patients underwent 20-G PPV. All patients underwent PPV with fluid-air exchange, sulfur hexafluoride (SF6) 20 % gas tamponade and laser or cryo retinopexy. Results The mean follow-up interval was 6.51(±2.32) and 6.63 (±2.58) months in the 25-G and 20-G groups respectively. Single-operation success rate was 92.7 % for the 25-G group and 81.8 % for the 20-G group ( P  = 0.24). Post-operative hypotony was observed in no case. Redetachment occurred in 3 eyes operated on with 25-G and in 8 eyes operated on with 20-G system. All retinas were attached at final follow-up. Logarithm of the minimum angle of resolution visual acuity significantly improved from 0.69 ± 0.76 to 0.33 ± 0.37 in the 25-G and from 0.47 ± 0.59 to 0.21 ± 0.28 in the 20-G group ( P  = 0.0007 and P  &lt; 0.0001 respectively). Conclusions High-speed PPV and SF6 gas tamponade using either 25-G or 20-G PPV system, yields similar single operation anatomical success rates for the repair of uncomplicated, primary inferior RRDs associated to inferior breaks.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-012-2059-8</identifier><identifier>PMID: 22588289</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Cryosurgery ; Endotamponade ; Female ; Follow-Up Studies ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Microsurgery - methods ; Middle Aged ; Ophthalmology ; Pseudophakia - complications ; Retinal Detachment - physiopathology ; Retinal Detachment - surgery ; Retinal Disorders ; Retinal Perforations - physiopathology ; Retinal Perforations - surgery ; Retrospective Studies ; Sulfur Hexafluoride - administration &amp; dosage ; Treatment Outcome ; Visual Acuity - physiology ; Vitrectomy - methods</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2013-02, Vol.251 (2), p.485-490</ispartof><rights>The Author(s) 2012</rights><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c470t-cee3669e0a757ad43fb11680c46d659f8607082924a3c137001ff5c8a40098da3</citedby><cites>FETCH-LOGICAL-c470t-cee3669e0a757ad43fb11680c46d659f8607082924a3c137001ff5c8a40098da3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-012-2059-8$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-012-2059-8$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22588289$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>dell’Omo, Roberto</creatorcontrib><creatorcontrib>Barca, Francesco</creatorcontrib><creatorcontrib>Tan, H. Stevie</creatorcontrib><creatorcontrib>Bijl, Heico M.</creatorcontrib><creatorcontrib>Oberstein, Sarit Y. Lesnik</creatorcontrib><creatorcontrib>Mura, Marco</creatorcontrib><title>Pars plana vitrectomy for the repair of primary, inferior rhegmatogenous retinal detachment associated to inferior breaks. A comparison of a 25-gauge versus a 20-gauge system</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Background To compare anatomical, functional outcomes and complications of high-speed 25-gauge (G) pars plana vitrectomy (PPV) versus 20-G PPV for the management of primary inferior rhegmatogenous retinal detachment (RRD) associated to inferior breaks/holes. Methods Eighty-five eyes from 85 patients with a minimum follow-up of 3 months were retrospectively evaluated. Forty-one patients underwent 25-G and 44 patients underwent 20-G PPV. All patients underwent PPV with fluid-air exchange, sulfur hexafluoride (SF6) 20 % gas tamponade and laser or cryo retinopexy. Results The mean follow-up interval was 6.51(±2.32) and 6.63 (±2.58) months in the 25-G and 20-G groups respectively. Single-operation success rate was 92.7 % for the 25-G group and 81.8 % for the 20-G group ( P  = 0.24). Post-operative hypotony was observed in no case. Redetachment occurred in 3 eyes operated on with 25-G and in 8 eyes operated on with 20-G system. All retinas were attached at final follow-up. Logarithm of the minimum angle of resolution visual acuity significantly improved from 0.69 ± 0.76 to 0.33 ± 0.37 in the 25-G and from 0.47 ± 0.59 to 0.21 ± 0.28 in the 20-G group ( P  = 0.0007 and P  &lt; 0.0001 respectively). 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Stevie</au><au>Bijl, Heico M.</au><au>Oberstein, Sarit Y. Lesnik</au><au>Mura, Marco</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pars plana vitrectomy for the repair of primary, inferior rhegmatogenous retinal detachment associated to inferior breaks. A comparison of a 25-gauge versus a 20-gauge system</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><date>2013-02-01</date><risdate>2013</risdate><volume>251</volume><issue>2</issue><spage>485</spage><epage>490</epage><pages>485-490</pages><issn>0721-832X</issn><eissn>1435-702X</eissn><abstract>Background To compare anatomical, functional outcomes and complications of high-speed 25-gauge (G) pars plana vitrectomy (PPV) versus 20-G PPV for the management of primary inferior rhegmatogenous retinal detachment (RRD) associated to inferior breaks/holes. Methods Eighty-five eyes from 85 patients with a minimum follow-up of 3 months were retrospectively evaluated. Forty-one patients underwent 25-G and 44 patients underwent 20-G PPV. All patients underwent PPV with fluid-air exchange, sulfur hexafluoride (SF6) 20 % gas tamponade and laser or cryo retinopexy. Results The mean follow-up interval was 6.51(±2.32) and 6.63 (±2.58) months in the 25-G and 20-G groups respectively. Single-operation success rate was 92.7 % for the 25-G group and 81.8 % for the 20-G group ( P  = 0.24). Post-operative hypotony was observed in no case. Redetachment occurred in 3 eyes operated on with 25-G and in 8 eyes operated on with 20-G system. All retinas were attached at final follow-up. Logarithm of the minimum angle of resolution visual acuity significantly improved from 0.69 ± 0.76 to 0.33 ± 0.37 in the 25-G and from 0.47 ± 0.59 to 0.21 ± 0.28 in the 20-G group ( P  = 0.0007 and P  &lt; 0.0001 respectively). Conclusions High-speed PPV and SF6 gas tamponade using either 25-G or 20-G PPV system, yields similar single operation anatomical success rates for the repair of uncomplicated, primary inferior RRDs associated to inferior breaks.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>22588289</pmid><doi>10.1007/s00417-012-2059-8</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Cryosurgery
Endotamponade
Female
Follow-Up Studies
Humans
Male
Medicine
Medicine & Public Health
Microsurgery - methods
Middle Aged
Ophthalmology
Pseudophakia - complications
Retinal Detachment - physiopathology
Retinal Detachment - surgery
Retinal Disorders
Retinal Perforations - physiopathology
Retinal Perforations - surgery
Retrospective Studies
Sulfur Hexafluoride - administration & dosage
Treatment Outcome
Visual Acuity - physiology
Vitrectomy - methods
title Pars plana vitrectomy for the repair of primary, inferior rhegmatogenous retinal detachment associated to inferior breaks. A comparison of a 25-gauge versus a 20-gauge system
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