TY - JOUR
T1 - Comparison of visual and anatomic outcomes following RRD surgery using 23-gauge versus 25-gauge vitrectomy
T2 - PRO study report no. 12
AU - For the Primary Retinal Detachment Outcomes (PRO) Study Group
AU - Starr, Matthew R.
AU - Yonekawa, Yoshihiro
AU - Obeid, Anthony
AU - Ryan, Edwin H.
AU - Ryan, Claire
AU - Ammar, Michael
AU - Patel, Luv G.
AU - Forbes, Nora J.
AU - Antonio Capone, Capone
AU - Emerson, Geoffrey G.
AU - Joseph, Daniel P.
AU - Eliott, Dean
AU - Regillo, Carl D.
AU - Hsu, Jason
AU - Gupta, Omesh P.
AU - Kuriyan, Ajay E.
N1 - Publisher Copyright:
© 2020 Ophthalmic Surgery, Lasers & Imaging Retina.
PY - 2021/2
Y1 - 2021/2
N2 - Background And Objective: Most surgeons now utilize small-gauge (23- or 25-gauge) pars plana vitrectomy (PPV) with or without scleral buckling for repair of rhegmatogenous retinal detachments (RRD), in addition to primary scleral buckle (SB), but comparative data between the two gauges are limited. Patients And Methods: This study is an analysis of primary RRD repairs comparing 23- versus 25-gauge vitrectomy for PPV or combination PPV/ SB from January 1, 2015, through December 31, 2015, across multiple institutions. The primary outcome was single-surgery success and secondary outcomes included postoperative complications. Results: There were 1,932 eyes that met inclusion criteria. There was no statistically significant difference in single-surgery success (82.9% vs. 83.8%; P = 0.6329). There were similar rates of postoperative hypotony, endophthalmitis, vitreous hemorrhage, and choroidal detachment. The findings were similar when analyzing only eyes that underwent primary PPV without SB. Conclusion: Both 23- and 25-gauge vitrectomy systems have similar anatomic and visual outcomes in the primary repair of RRD.
AB - Background And Objective: Most surgeons now utilize small-gauge (23- or 25-gauge) pars plana vitrectomy (PPV) with or without scleral buckling for repair of rhegmatogenous retinal detachments (RRD), in addition to primary scleral buckle (SB), but comparative data between the two gauges are limited. Patients And Methods: This study is an analysis of primary RRD repairs comparing 23- versus 25-gauge vitrectomy for PPV or combination PPV/ SB from January 1, 2015, through December 31, 2015, across multiple institutions. The primary outcome was single-surgery success and secondary outcomes included postoperative complications. Results: There were 1,932 eyes that met inclusion criteria. There was no statistically significant difference in single-surgery success (82.9% vs. 83.8%; P = 0.6329). There were similar rates of postoperative hypotony, endophthalmitis, vitreous hemorrhage, and choroidal detachment. The findings were similar when analyzing only eyes that underwent primary PPV without SB. Conclusion: Both 23- and 25-gauge vitrectomy systems have similar anatomic and visual outcomes in the primary repair of RRD.
UR - http://www.scopus.com/inward/record.url?scp=85101783355&partnerID=8YFLogxK
U2 - 10.3928/23258160-20210201-03
DO - 10.3928/23258160-20210201-03
M3 - Article
C2 - 33626167
AN - SCOPUS:85101783355
SN - 2325-8160
VL - 52
SP - 70
EP - 76
JO - Ophthalmic Surgery Lasers and Imaging Retina
JF - Ophthalmic Surgery Lasers and Imaging Retina
IS - 2
ER -