Comparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy

Sharif A Issa, Alan Connor, Maged Habib, David HW SteelDepartment of Ophthalmology, Sunderland Eye Infirmary, Sunderland, UKBackground: To assess the rate and type of retinal break formation in patients undergoing 23 gauge transconjunctival vitrectomy surgery for complications of proliferative diabe...

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Autores principales:	Sharif A Issa, Alan Connor, Maged Habib, et al
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/30fc8871fde64a9980743d309b8fe4ce
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spelling	oai:doaj.org-article:30fc8871fde64a9980743d309b8fe4ce2021-12-02T01:40:51ZComparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy1177-54671177-5483https://doaj.org/article/30fc8871fde64a9980743d309b8fe4ce2011-01-01T00:00:00Zhttp://www.dovepress.com/comparison-of-retinal-breaks-observed-during-23-gauge-transconjunctiva-a6106https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Sharif A Issa, Alan Connor, Maged Habib, David HW SteelDepartment of Ophthalmology, Sunderland Eye Infirmary, Sunderland, UKBackground: To assess the rate and type of retinal break formation in patients undergoing 23 gauge transconjunctival vitrectomy surgery for complications of proliferative diabetic retinopathy compared with 20 gauge vitrectomy surgery.Methods: Retrospective case notes review of two consecutive series of patients who had primary pars plana vitrectomy for complications of proliferative diabetic retinopathy by a single surgeon. The control group had standard 20 gauge vitrectomy surgery whilst the second group had 23 gauge transconjunctival vitrectomy surgery.Results: Eighty-five eyes were included in the 20 gauge group and 85 eyes in the 23 gauge group. The groups were well matched for surgical complexity and indications for surgery, as well as a variety of other preoperative variables. There was a significant reduction in the incidence of peripheral sclerotomy-related retinal breaks and lesions suspicious for breaks (4/85 [5%] 23 gauge versus 14/85 [16%] 20 gauge, P = 0.02) and posterior retinal breaks (3/85 [4%] 23 gauge versus 12/85 [14%] 20 gauge, P = 0.03). Six eyes (7%) in total had definite new retinal breaks of any type detected in the 23 gauge group compared with 16 (18.8%) in the 20 gauge group (P = 0.04). One patient in each group experienced a retinal detachment postoperatively related in both cases to a posterior retinal break associated with recurrent traction.Conclusion: In this series of patients, 23 gauge transconjunctival vitrectomy surgery was associated with a lower rate of retinal break formation than 20 gauge vitrectomy for proliferative diabetic retinopathy.Keywords: proliferative, diabetic retinopathy, transconjunctival, vitrectomy Sharif A IssaAlan ConnorMaged Habibet alDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 109-114 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Sharif A Issa Alan Connor Maged Habib et al Comparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy
description	Sharif A Issa, Alan Connor, Maged Habib, David HW SteelDepartment of Ophthalmology, Sunderland Eye Infirmary, Sunderland, UKBackground: To assess the rate and type of retinal break formation in patients undergoing 23 gauge transconjunctival vitrectomy surgery for complications of proliferative diabetic retinopathy compared with 20 gauge vitrectomy surgery.Methods: Retrospective case notes review of two consecutive series of patients who had primary pars plana vitrectomy for complications of proliferative diabetic retinopathy by a single surgeon. The control group had standard 20 gauge vitrectomy surgery whilst the second group had 23 gauge transconjunctival vitrectomy surgery.Results: Eighty-five eyes were included in the 20 gauge group and 85 eyes in the 23 gauge group. The groups were well matched for surgical complexity and indications for surgery, as well as a variety of other preoperative variables. There was a significant reduction in the incidence of peripheral sclerotomy-related retinal breaks and lesions suspicious for breaks (4/85 [5%] 23 gauge versus 14/85 [16%] 20 gauge, P = 0.02) and posterior retinal breaks (3/85 [4%] 23 gauge versus 12/85 [14%] 20 gauge, P = 0.03). Six eyes (7%) in total had definite new retinal breaks of any type detected in the 23 gauge group compared with 16 (18.8%) in the 20 gauge group (P = 0.04). One patient in each group experienced a retinal detachment postoperatively related in both cases to a posterior retinal break associated with recurrent traction.Conclusion: In this series of patients, 23 gauge transconjunctival vitrectomy surgery was associated with a lower rate of retinal break formation than 20 gauge vitrectomy for proliferative diabetic retinopathy.Keywords: proliferative, diabetic retinopathy, transconjunctival, vitrectomy
format	article
author	Sharif A Issa Alan Connor Maged Habib et al
author_facet	Sharif A Issa Alan Connor Maged Habib et al
author_sort	Sharif A Issa
title	Comparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy
title_short	Comparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy
title_full	Comparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy
title_fullStr	Comparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy
title_full_unstemmed	Comparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy
title_sort	comparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/30fc8871fde64a9980743d309b8fe4ce
work_keys_str_mv	AT sharifaissa comparisonofretinalbreaksobservedduring23gaugetransconjunctivalvitrectomyversusconventional20gaugesurgeryforproliferativediabeticretinopathy AT alanconnor comparisonofretinalbreaksobservedduring23gaugetransconjunctivalvitrectomyversusconventional20gaugesurgeryforproliferativediabeticretinopathy AT magedhabib comparisonofretinalbreaksobservedduring23gaugetransconjunctivalvitrectomyversusconventional20gaugesurgeryforproliferativediabeticretinopathy AT etal comparisonofretinalbreaksobservedduring23gaugetransconjunctivalvitrectomyversusconventional20gaugesurgeryforproliferativediabeticretinopathy
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Comparison of retinal breaks observed during 23 gauge transconjunctival vitrectomy versus conventional 20 gauge surgery for proliferative diabetic retinopathy

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