Outcomes of 23-gauge pars plana vitrectomy in vitreoretinal diseases

Bet&uuml;l Ilkay Sezgin Ak&ccedil;ay1, Osman Murat Uyar2, Fevzi Akkan2, Kadir Eltutar21&Uuml;mraniye Training and Research Hospital, İstanbul, Turkey; 2İstanbul Training and Research Hospital, İstanbul, TurkeyPurpose: The aim of this study was to assess the efficiency and rel...

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Autores principales:	Sezgin Ak&ccedil;ay B, Uyar OM, Akkan F, Eltutar K
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2011
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/b8e1b911444b4abdbe8c8cbf05565e9e
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spelling	oai:doaj.org-article:b8e1b911444b4abdbe8c8cbf05565e9e2021-12-02T05:39:55ZOutcomes of 23-gauge pars plana vitrectomy in vitreoretinal diseases1177-54671177-5483https://doaj.org/article/b8e1b911444b4abdbe8c8cbf05565e9e2011-12-01T00:00:00Zhttp://www.dovepress.com/outcomes-of-23-gauge-pars-plana-vitrectomy-in-vitreoretinal-diseases-a8869https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Bet&uuml;l Ilkay Sezgin Ak&ccedil;ay1, Osman Murat Uyar2, Fevzi Akkan2, Kadir Eltutar21&Uuml;mraniye Training and Research Hospital, İstanbul, Turkey; 2İstanbul Training and Research Hospital, İstanbul, TurkeyPurpose: The aim of this study was to assess the efficiency and reliability of the 23-gauge (23G) transconjunctival vitrectomy system and examine possible complications of this surgical technique in a variety of vitreoretinal conditions along with early postoperative intraocular pressure (IOP) changes.Materials and methods: A total of 350 eyes of 324 patients having undergone 23G transconjunctival vitrectomy were included in this prospective study. A total of 150 (46.2%) were male and 174 (53.8%) female, with a mean age of 61.28 &plusmn; 15.67 years. Mean follow-up time was 8.3 months.Results: Mean BCVA logMARs were as follows: preoperatively 0.839 &plusmn; 0.59, postoperatively first day 2.07 &plusmn; 0.76, first week 1.14 &plusmn; 0,43, first month 0.63 &plusmn; 0.26 and last examination 0.359 &plusmn; 0.17. Mean BCVA decreased significantly (P &lt; 0.001, P &lt; 0.028, respectively) on postoperative first day and first week, mainly due to air or gas tamponade, and increased significantly in the first month and final control in almost all indications (P &lt; 0.001). Postoperative mild hypotony (IOP &le; 10 mmHg) was detected in 112 (32%) eyes on day 1 and in 59 (16.8%) eyes in week 1. While postoperative serious hypotony (&le;5 mmHg) was detected in 34 (9.7%) eyes on day 1, it was not detected in any eyes at the end of the first week. None of the eyes required an additional gas tamponade or any other procedure in the early postoperative period due to hypotony. A total of 13 (3.7%) eyes were reoperated for recurrent vitreous hemorrhage; 23 (6.5%) eyes were reoperated on a second time, nine (2.5%) a third time, and 1 (0.2%) a fourth time for recurrent rhegmatogenous retinal detachment. Postoperative fibrinoid reaction was seen in 17 (4.8%) eyes on the first day and responded well to the medications. Cataract development was found in 61 (22.5%) of the 270 phakic eyes after a mean duration of 6.4 &plusmn; 3.5 months. Anatomical success was obtained in 86% of the patients and functional success in 72%.Conclusion: The 23G transconjunctival vitrectomy system is safe and effective in a wide field of vitreoretinal conditions. It is a good alternative to 20G and 25G techniques but needs some improvement mainly in regards to the instruments and related techniques; further larger controlled group studies are needed.Keywords: vitreoretinal surgery, 23G transconjunctival vitrectomySezgin Ak&ccedil;ay BUyar OMAkkan FEltutar KDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2011, Iss default, Pp 1771-1776 (2011)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Sezgin Ak&ccedil;ay B Uyar OM Akkan F Eltutar K Outcomes of 23-gauge pars plana vitrectomy in vitreoretinal diseases
description	Bet&uuml;l Ilkay Sezgin Ak&ccedil;ay1, Osman Murat Uyar2, Fevzi Akkan2, Kadir Eltutar21&Uuml;mraniye Training and Research Hospital, İstanbul, Turkey; 2İstanbul Training and Research Hospital, İstanbul, TurkeyPurpose: The aim of this study was to assess the efficiency and reliability of the 23-gauge (23G) transconjunctival vitrectomy system and examine possible complications of this surgical technique in a variety of vitreoretinal conditions along with early postoperative intraocular pressure (IOP) changes.Materials and methods: A total of 350 eyes of 324 patients having undergone 23G transconjunctival vitrectomy were included in this prospective study. A total of 150 (46.2%) were male and 174 (53.8%) female, with a mean age of 61.28 &plusmn; 15.67 years. Mean follow-up time was 8.3 months.Results: Mean BCVA logMARs were as follows: preoperatively 0.839 &plusmn; 0.59, postoperatively first day 2.07 &plusmn; 0.76, first week 1.14 &plusmn; 0,43, first month 0.63 &plusmn; 0.26 and last examination 0.359 &plusmn; 0.17. Mean BCVA decreased significantly (P &lt; 0.001, P &lt; 0.028, respectively) on postoperative first day and first week, mainly due to air or gas tamponade, and increased significantly in the first month and final control in almost all indications (P &lt; 0.001). Postoperative mild hypotony (IOP &le; 10 mmHg) was detected in 112 (32%) eyes on day 1 and in 59 (16.8%) eyes in week 1. While postoperative serious hypotony (&le;5 mmHg) was detected in 34 (9.7%) eyes on day 1, it was not detected in any eyes at the end of the first week. None of the eyes required an additional gas tamponade or any other procedure in the early postoperative period due to hypotony. A total of 13 (3.7%) eyes were reoperated for recurrent vitreous hemorrhage; 23 (6.5%) eyes were reoperated on a second time, nine (2.5%) a third time, and 1 (0.2%) a fourth time for recurrent rhegmatogenous retinal detachment. Postoperative fibrinoid reaction was seen in 17 (4.8%) eyes on the first day and responded well to the medications. Cataract development was found in 61 (22.5%) of the 270 phakic eyes after a mean duration of 6.4 &plusmn; 3.5 months. Anatomical success was obtained in 86% of the patients and functional success in 72%.Conclusion: The 23G transconjunctival vitrectomy system is safe and effective in a wide field of vitreoretinal conditions. It is a good alternative to 20G and 25G techniques but needs some improvement mainly in regards to the instruments and related techniques; further larger controlled group studies are needed.Keywords: vitreoretinal surgery, 23G transconjunctival vitrectomy
format	article
author	Sezgin Ak&ccedil;ay B Uyar OM Akkan F Eltutar K
author_facet	Sezgin Ak&ccedil;ay B Uyar OM Akkan F Eltutar K
author_sort	Sezgin Ak&ccedil;ay B
title	Outcomes of 23-gauge pars plana vitrectomy in vitreoretinal diseases
title_short	Outcomes of 23-gauge pars plana vitrectomy in vitreoretinal diseases
title_full	Outcomes of 23-gauge pars plana vitrectomy in vitreoretinal diseases
title_fullStr	Outcomes of 23-gauge pars plana vitrectomy in vitreoretinal diseases
title_full_unstemmed	Outcomes of 23-gauge pars plana vitrectomy in vitreoretinal diseases
title_sort	outcomes of 23-gauge pars plana vitrectomy in vitreoretinal diseases
publisher	Dove Medical Press
publishDate	2011
url	https://doaj.org/article/b8e1b911444b4abdbe8c8cbf05565e9e
work_keys_str_mv	AT sezginakampccedilayb outcomesof23gaugeparsplanavitrectomyinvitreoretinaldiseases AT uyarom outcomesof23gaugeparsplanavitrectomyinvitreoretinaldiseases AT akkanf outcomesof23gaugeparsplanavitrectomyinvitreoretinaldiseases AT eltutark outcomesof23gaugeparsplanavitrectomyinvitreoretinaldiseases
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Outcomes of 23-gauge pars plana vitrectomy in vitreoretinal diseases

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