Comparison of Characteristics and Clinical Outcomes in 27-Gauge versus 23-Gauge Vitrectomy Surgery

Omar A Saleh,1 Saif A Alshamarti,2 Nakhleh E Abu-Yaghi3 1Department of Ophthalmology, Jordan University of Science and Technology, Irbid, Jordan; 2Department of Ophthalmology, College of Medicine, University of Al-Qadisiyah, Diwanyah, Iraq; 3Department of Special Surgery/Ophthalmology Division, Scho...

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Autores principales:	Saleh OA, Alshamarti SA, Abu-Yaghi NE
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	micro-incisional eye surgery pars plana vitrectomy sclerotomy hypotony Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/cd22bcc243804ca0acb7e7497379f9ec
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spelling	oai:doaj.org-article:cd22bcc243804ca0acb7e7497379f9ec2021-12-02T10:05:12ZComparison of Characteristics and Clinical Outcomes in 27-Gauge versus 23-Gauge Vitrectomy Surgery1177-5483https://doaj.org/article/cd22bcc243804ca0acb7e7497379f9ec2020-06-01T00:00:00Zhttps://www.dovepress.com/comparison-of-characteristics-and-clinical-outcomes-in-27-gauge-versus-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Omar A Saleh,1 Saif A Alshamarti,2 Nakhleh E Abu-Yaghi3 1Department of Ophthalmology, Jordan University of Science and Technology, Irbid, Jordan; 2Department of Ophthalmology, College of Medicine, University of Al-Qadisiyah, Diwanyah, Iraq; 3Department of Special Surgery/Ophthalmology Division, School of Medicine, The University of Jordan, Amman, JordanCorrespondence: Omar A SalehDepartment of Ophthalmology, Jordan University of Science and Technology, 3030 Ramtha Street, Irbid 22110, JordanTel +962-754-1594Email omarsaleh80@yahoo.comPurpose: To compare characteristics, clinical outcomes and complication profiles of a cohort of patients undergoing 27-gauge versus 23-gauge vitrectomy surgery at a tertiary medical center in the Middle East.Methods: This is a retrospective comparative study of indication-matched patients undergoing 27-gauge versus 23-gauge pars plana vitrectomy for a set of predetermined diagnoses. Data including indications for surgery, clinical exams, visual outcomes, and complications were documented and analyzed.Results: A total of 22 patients who had 27-gauge pars plana vitrectomy were compared with 44 patients who had 23-gauge surgery for matched indications by a single retina surgeon. Mean follow-up was 14 months after surgery. Indications included macular pucker, macular hole, and vitreous hemorrhage. Both the rate of hypotony at postoperative day 1 and the need for sclerotomy stitching at the end of surgery were significantly more frequent in 23-gauge compared to 27-gauge cases (25% in 23-gauge compared to 0% in 27-gauge (p=0.012) and 18% in the 23-gauge compared to 0% in the 27-gauge (p=0.045), respectively). The mean duration of surgery was similar among groups (35 mins in the 27-gauge group versus 39 mins in the 23-gauge group (p=0.116)), and all eyes achieved anatomic success. In the 27-gauge group, best-corrected visual acuity improved from a mean of 20/90 at baseline to a mean of 20/40 at 1 month (p=0.005) and in the 23-gauge group from a mean of 20/95 to 20/50 (p=0.001) with no statistical difference between the groups.Conclusion: In this cohort of patients undergoing vitrectomy at a tertiary eye center, the rate of hypotony and the need for sclerotomy suturing were significantly less in the 27-gauge group versus the 23-gauge group. Surgical outcomes were similar in both study groups. The use of the novel 27-gauge instrument system is useful in selected vitreoretinal diseases and appears comparable to the widely used 23-gauge system.Keywords: micro-incisional eye surgery, pars plana vitrectomy, sclerotomy, hypotonySaleh OAAlshamarti SAAbu-Yaghi NEDove Medical Pressarticlemicro-incisional eye surgerypars plana vitrectomysclerotomyhypotonyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 1553-1558 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	micro-incisional eye surgery pars plana vitrectomy sclerotomy hypotony Ophthalmology RE1-994
spellingShingle	micro-incisional eye surgery pars plana vitrectomy sclerotomy hypotony Ophthalmology RE1-994 Saleh OA Alshamarti SA Abu-Yaghi NE Comparison of Characteristics and Clinical Outcomes in 27-Gauge versus 23-Gauge Vitrectomy Surgery
description	Omar A Saleh,1 Saif A Alshamarti,2 Nakhleh E Abu-Yaghi3 1Department of Ophthalmology, Jordan University of Science and Technology, Irbid, Jordan; 2Department of Ophthalmology, College of Medicine, University of Al-Qadisiyah, Diwanyah, Iraq; 3Department of Special Surgery/Ophthalmology Division, School of Medicine, The University of Jordan, Amman, JordanCorrespondence: Omar A SalehDepartment of Ophthalmology, Jordan University of Science and Technology, 3030 Ramtha Street, Irbid 22110, JordanTel +962-754-1594Email omarsaleh80@yahoo.comPurpose: To compare characteristics, clinical outcomes and complication profiles of a cohort of patients undergoing 27-gauge versus 23-gauge vitrectomy surgery at a tertiary medical center in the Middle East.Methods: This is a retrospective comparative study of indication-matched patients undergoing 27-gauge versus 23-gauge pars plana vitrectomy for a set of predetermined diagnoses. Data including indications for surgery, clinical exams, visual outcomes, and complications were documented and analyzed.Results: A total of 22 patients who had 27-gauge pars plana vitrectomy were compared with 44 patients who had 23-gauge surgery for matched indications by a single retina surgeon. Mean follow-up was 14 months after surgery. Indications included macular pucker, macular hole, and vitreous hemorrhage. Both the rate of hypotony at postoperative day 1 and the need for sclerotomy stitching at the end of surgery were significantly more frequent in 23-gauge compared to 27-gauge cases (25% in 23-gauge compared to 0% in 27-gauge (p=0.012) and 18% in the 23-gauge compared to 0% in the 27-gauge (p=0.045), respectively). The mean duration of surgery was similar among groups (35 mins in the 27-gauge group versus 39 mins in the 23-gauge group (p=0.116)), and all eyes achieved anatomic success. In the 27-gauge group, best-corrected visual acuity improved from a mean of 20/90 at baseline to a mean of 20/40 at 1 month (p=0.005) and in the 23-gauge group from a mean of 20/95 to 20/50 (p=0.001) with no statistical difference between the groups.Conclusion: In this cohort of patients undergoing vitrectomy at a tertiary eye center, the rate of hypotony and the need for sclerotomy suturing were significantly less in the 27-gauge group versus the 23-gauge group. Surgical outcomes were similar in both study groups. The use of the novel 27-gauge instrument system is useful in selected vitreoretinal diseases and appears comparable to the widely used 23-gauge system.Keywords: micro-incisional eye surgery, pars plana vitrectomy, sclerotomy, hypotony
format	article
author	Saleh OA Alshamarti SA Abu-Yaghi NE
author_facet	Saleh OA Alshamarti SA Abu-Yaghi NE
author_sort	Saleh OA
title	Comparison of Characteristics and Clinical Outcomes in 27-Gauge versus 23-Gauge Vitrectomy Surgery
title_short	Comparison of Characteristics and Clinical Outcomes in 27-Gauge versus 23-Gauge Vitrectomy Surgery
title_full	Comparison of Characteristics and Clinical Outcomes in 27-Gauge versus 23-Gauge Vitrectomy Surgery
title_fullStr	Comparison of Characteristics and Clinical Outcomes in 27-Gauge versus 23-Gauge Vitrectomy Surgery
title_full_unstemmed	Comparison of Characteristics and Clinical Outcomes in 27-Gauge versus 23-Gauge Vitrectomy Surgery
title_sort	comparison of characteristics and clinical outcomes in 27-gauge versus 23-gauge vitrectomy surgery
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/cd22bcc243804ca0acb7e7497379f9ec
work_keys_str_mv	AT salehoa comparisonofcharacteristicsandclinicaloutcomesin27gaugeversus23gaugevitrectomysurgery AT alshamartisa comparisonofcharacteristicsandclinicaloutcomesin27gaugeversus23gaugevitrectomysurgery AT abuyaghine comparisonofcharacteristicsandclinicaloutcomesin27gaugeversus23gaugevitrectomysurgery
_version_	1718397715726991360

Comparison of Characteristics and Clinical Outcomes in 27-Gauge versus 23-Gauge Vitrectomy Surgery

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