Faster recovery after 25-gauge microincision vitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy

Tatsuhiko Sato, Kazuyuki Emi, Hajime Bando, Toshihide IkedaOsaka Rosai Hospital Clinical Research Center for Occupational Sensory Organ Disability, Sakai, JapanBackground and methods: We compared surgical procedures and outcomes, including duration of recovery period, in eyes with proliferative diab...

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Autores principales:	Ikeda T, Bando H, Emi K, Sato T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/86c4953e9897474d939119b52396dfe9
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spelling	oai:doaj.org-article:86c4953e9897474d939119b52396dfe92021-12-02T01:56:58ZFaster recovery after 25-gauge microincision vitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy1177-54671177-5483https://doaj.org/article/86c4953e9897474d939119b52396dfe92012-11-01T00:00:00Zhttp://www.dovepress.com/faster-recovery-after-25-gauge-microincision-vitrectomy-surgery-than-a-a11567https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Tatsuhiko Sato, Kazuyuki Emi, Hajime Bando, Toshihide IkedaOsaka Rosai Hospital Clinical Research Center for Occupational Sensory Organ Disability, Sakai, JapanBackground and methods: We compared surgical procedures and outcomes, including duration of recovery period, in eyes with proliferative diabetic retinopathy that underwent 25-gauge microincision vitrectomy surgery with those that underwent 20-gauge vitrectomy. Seventy-two eyes from 53 patients that underwent 20-gauge vitrectomy in 2006 and 87 eyes from 55 patients that underwent 25-gauge vitrectomy in 2010 were studied. The surgical procedures, ie, number of vitreous procedures, operating time, and ratio of type of intraocular tamponade were compared between the two groups. In addition, the outcomes, ie, postoperative complications, anatomical success, postoperative best-corrected visual acuity (BCVA), and duration of hospitalization as an indicator of the postoperative recovery period were also compared.Results: There were no significant differences in surgical procedures or ratio of cases with postoperative complications between cases with 20-gauge and 25-gauge vitrectomy. The final anatomical success rate was 100% in the two groups. BCVA at 6 months after the final vitrectomy was significantly better than the preoperative BCVA for both types of vitrectomy (P &lt; 0.05), and was not significantly different between the two groups. The average duration of hospitalization was 19.5 days after 20-gauge vitrectomy, which was significantly longer than the 11.0 days after 25-gauge vitrectomy (P &lt; 0.001).Conclusion: These results indicate that the anatomical and functional improvements after 25-gauge microincision vitrectomy surgery are not significantly different from those after 20-gauge vitrectomy in eyes with proliferative diabetic retinopathy. However, the significantly shorter recovery period after 25-gauge microincision vitrectomy surgery suggests that it is less traumatic than 20-gauge vitrectomy.Keywords: vitrectomy, 25-gauge vitrectomy, microincision vitrectomy surgery, diabetic retinopathy, postoperative recoveryIkeda TBando HEmi KSato TDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1925-1930 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Ikeda T Bando H Emi K Sato T Faster recovery after 25-gauge microincision vitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy
description	Tatsuhiko Sato, Kazuyuki Emi, Hajime Bando, Toshihide IkedaOsaka Rosai Hospital Clinical Research Center for Occupational Sensory Organ Disability, Sakai, JapanBackground and methods: We compared surgical procedures and outcomes, including duration of recovery period, in eyes with proliferative diabetic retinopathy that underwent 25-gauge microincision vitrectomy surgery with those that underwent 20-gauge vitrectomy. Seventy-two eyes from 53 patients that underwent 20-gauge vitrectomy in 2006 and 87 eyes from 55 patients that underwent 25-gauge vitrectomy in 2010 were studied. The surgical procedures, ie, number of vitreous procedures, operating time, and ratio of type of intraocular tamponade were compared between the two groups. In addition, the outcomes, ie, postoperative complications, anatomical success, postoperative best-corrected visual acuity (BCVA), and duration of hospitalization as an indicator of the postoperative recovery period were also compared.Results: There were no significant differences in surgical procedures or ratio of cases with postoperative complications between cases with 20-gauge and 25-gauge vitrectomy. The final anatomical success rate was 100% in the two groups. BCVA at 6 months after the final vitrectomy was significantly better than the preoperative BCVA for both types of vitrectomy (P &lt; 0.05), and was not significantly different between the two groups. The average duration of hospitalization was 19.5 days after 20-gauge vitrectomy, which was significantly longer than the 11.0 days after 25-gauge vitrectomy (P &lt; 0.001).Conclusion: These results indicate that the anatomical and functional improvements after 25-gauge microincision vitrectomy surgery are not significantly different from those after 20-gauge vitrectomy in eyes with proliferative diabetic retinopathy. However, the significantly shorter recovery period after 25-gauge microincision vitrectomy surgery suggests that it is less traumatic than 20-gauge vitrectomy.Keywords: vitrectomy, 25-gauge vitrectomy, microincision vitrectomy surgery, diabetic retinopathy, postoperative recovery
format	article
author	Ikeda T Bando H Emi K Sato T
author_facet	Ikeda T Bando H Emi K Sato T
author_sort	Ikeda T
title	Faster recovery after 25-gauge microincision vitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy
title_short	Faster recovery after 25-gauge microincision vitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy
title_full	Faster recovery after 25-gauge microincision vitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy
title_fullStr	Faster recovery after 25-gauge microincision vitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy
title_full_unstemmed	Faster recovery after 25-gauge microincision vitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy
title_sort	faster recovery after 25-gauge microincision vitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/86c4953e9897474d939119b52396dfe9
work_keys_str_mv	AT ikedat fasterrecoveryafter25gaugemicroincisionvitrectomysurgerythanafter20gaugevitrectomyinpatientswithproliferativediabeticretinopathy AT bandoh fasterrecoveryafter25gaugemicroincisionvitrectomysurgerythanafter20gaugevitrectomyinpatientswithproliferativediabeticretinopathy AT emik fasterrecoveryafter25gaugemicroincisionvitrectomysurgerythanafter20gaugevitrectomyinpatientswithproliferativediabeticretinopathy AT satot fasterrecoveryafter25gaugemicroincisionvitrectomysurgerythanafter20gaugevitrectomyinpatientswithproliferativediabeticretinopathy
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Faster recovery after 25-gauge microincision vitrectomy surgery than after 20-gauge vitrectomy in patients with proliferative diabetic retinopathy

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