Comparative Study of 27-Gauge versus 25-Gauge Vitrectomy for the Treatment of Primary Rhegmatogenous Retinal Detachment
Purpose. To compare the vitrectomy time, clinical outcomes, and complications between 27-gauge (27-G) and 25-gauge (25-G) vitrectomy in patients with primary rhegmatogenous retinal detachment (PRRD). Methods. Prospective, nonrandomized, comparative, interventional study. Forty consecutive patients w...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2017/6384985 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850179450602258432 |
|---|---|
| author | Stanislao Rizzo Silvio Polizzi Francesco Barca Tomaso Caporossi Gianni Virgili |
| author_facet | Stanislao Rizzo Silvio Polizzi Francesco Barca Tomaso Caporossi Gianni Virgili |
| author_sort | Stanislao Rizzo |
| collection | DOAJ |
| description | Purpose. To compare the vitrectomy time, clinical outcomes, and complications between 27-gauge (27-G) and 25-gauge (25-G) vitrectomy in patients with primary rhegmatogenous retinal detachment (PRRD). Methods. Prospective, nonrandomized, comparative, interventional study. Forty consecutive patients with PRRD were recruited. Twenty patients underwent the 27-gauge procedure and twenty patients had the 25-gauge procedure. The main outcome measure of the study was the actual vitrectomy time. Results. The mean duration of vitreous removal was 23.2 min (SD 6.5) with 27-G vitrectomy and 19.6 min (SD 7.3) with 25-G vitrectomy, resulting in a difference of 3.6 min (95% confidence interval (95%CI): −8.0 to 0.8 mins, p=0.11). Mean logMAR visual acuity improved from 1.70 ± 1.18 preoperatively to 0.12 ± 0.14 at final postoperative visit (p<0.001) in the 27-G group and from 1.52 ± 1.15 preoperatively to 0.22 ± 0.30 at final postoperative visit (p<0.001) in the 25-G group. The anatomical success rate after a single operation was 90.0% and 85.0% in the 27-G and in the 25-G groups (p=0.63), respectively. Intraoperative iatrogenic retinal breaks (IRBs) occurred in 2 eyes in the 27-G group and 1 eye in the 25-G group. Conclusions. Twenty-seven-gauge vitrectomy may be a safe and effective surgery for the treatment of PRRD. |
| format | Article |
| id | doaj-art-9c65f3d4663542cabcd39ccbc0dc2b89 |
| institution | OA Journals |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-9c65f3d4663542cabcd39ccbc0dc2b892025-08-20T02:18:29ZengWileyJournal of Ophthalmology2090-004X2090-00582017-01-01201710.1155/2017/63849856384985Comparative Study of 27-Gauge versus 25-Gauge Vitrectomy for the Treatment of Primary Rhegmatogenous Retinal DetachmentStanislao Rizzo0Silvio Polizzi1Francesco Barca2Tomaso Caporossi3Gianni Virgili4Ophthalmology Department, University of Florence, A.O.U.C., Largo Brambilla 3, 50134 Florence, ItalyOphthalmology Department, University of Florence, A.O.U.C., Largo Brambilla 3, 50134 Florence, ItalyOphthalmology Department, University of Florence, A.O.U.C., Largo Brambilla 3, 50134 Florence, ItalyOphthalmology Department, University of Florence, A.O.U.C., Largo Brambilla 3, 50134 Florence, ItalyOphthalmology Department, University of Florence, A.O.U.C., Largo Brambilla 3, 50134 Florence, ItalyPurpose. To compare the vitrectomy time, clinical outcomes, and complications between 27-gauge (27-G) and 25-gauge (25-G) vitrectomy in patients with primary rhegmatogenous retinal detachment (PRRD). Methods. Prospective, nonrandomized, comparative, interventional study. Forty consecutive patients with PRRD were recruited. Twenty patients underwent the 27-gauge procedure and twenty patients had the 25-gauge procedure. The main outcome measure of the study was the actual vitrectomy time. Results. The mean duration of vitreous removal was 23.2 min (SD 6.5) with 27-G vitrectomy and 19.6 min (SD 7.3) with 25-G vitrectomy, resulting in a difference of 3.6 min (95% confidence interval (95%CI): −8.0 to 0.8 mins, p=0.11). Mean logMAR visual acuity improved from 1.70 ± 1.18 preoperatively to 0.12 ± 0.14 at final postoperative visit (p<0.001) in the 27-G group and from 1.52 ± 1.15 preoperatively to 0.22 ± 0.30 at final postoperative visit (p<0.001) in the 25-G group. The anatomical success rate after a single operation was 90.0% and 85.0% in the 27-G and in the 25-G groups (p=0.63), respectively. Intraoperative iatrogenic retinal breaks (IRBs) occurred in 2 eyes in the 27-G group and 1 eye in the 25-G group. Conclusions. Twenty-seven-gauge vitrectomy may be a safe and effective surgery for the treatment of PRRD.http://dx.doi.org/10.1155/2017/6384985 |
| spellingShingle | Stanislao Rizzo Silvio Polizzi Francesco Barca Tomaso Caporossi Gianni Virgili Comparative Study of 27-Gauge versus 25-Gauge Vitrectomy for the Treatment of Primary Rhegmatogenous Retinal Detachment Journal of Ophthalmology |
| title | Comparative Study of 27-Gauge versus 25-Gauge Vitrectomy for the Treatment of Primary Rhegmatogenous Retinal Detachment |
| title_full | Comparative Study of 27-Gauge versus 25-Gauge Vitrectomy for the Treatment of Primary Rhegmatogenous Retinal Detachment |
| title_fullStr | Comparative Study of 27-Gauge versus 25-Gauge Vitrectomy for the Treatment of Primary Rhegmatogenous Retinal Detachment |
| title_full_unstemmed | Comparative Study of 27-Gauge versus 25-Gauge Vitrectomy for the Treatment of Primary Rhegmatogenous Retinal Detachment |
| title_short | Comparative Study of 27-Gauge versus 25-Gauge Vitrectomy for the Treatment of Primary Rhegmatogenous Retinal Detachment |
| title_sort | comparative study of 27 gauge versus 25 gauge vitrectomy for the treatment of primary rhegmatogenous retinal detachment |
| url | http://dx.doi.org/10.1155/2017/6384985 |
| work_keys_str_mv | AT stanislaorizzo comparativestudyof27gaugeversus25gaugevitrectomyforthetreatmentofprimaryrhegmatogenousretinaldetachment AT silviopolizzi comparativestudyof27gaugeversus25gaugevitrectomyforthetreatmentofprimaryrhegmatogenousretinaldetachment AT francescobarca comparativestudyof27gaugeversus25gaugevitrectomyforthetreatmentofprimaryrhegmatogenousretinaldetachment AT tomasocaporossi comparativestudyof27gaugeversus25gaugevitrectomyforthetreatmentofprimaryrhegmatogenousretinaldetachment AT giannivirgili comparativestudyof27gaugeversus25gaugevitrectomyforthetreatmentofprimaryrhegmatogenousretinaldetachment |