Untoward outcomes in 25-gauge versus 20-gauge vitreoretinal surgery
| Autor: | Saad Shaikh, Richmond Pp, Barnes Cd, Ho S, John C. Olson |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Visual acuity genetic structures Eye Diseases Visual Acuity Ophthalmologic Surgical Procedures Postoperative Complications Retinal Diseases Chart review Ophthalmology medicine Humans Minimally Invasive Surgical Procedures Intraoperative Complications Aged Retrospective Studies business.industry Incidence Follow up studies Retrospective cohort study General Medicine Vitreoretinal surgery eye diseases Surgery Vitreous Body Female sense organs medicine.symptom business Follow-Up Studies |
| Zdroj: | Retina (Philadelphia, Pa.). 27(8) |
| ISSN: | 0275-004X |
| Popis: | This study compares the incidence of complications in eyes undergoing 25-gauge versus 20-gauge vitreoretinal procedures.Retrospective case series. A chart review of consecutive patients who underwent primary 25-gauge (129 eyes) and 20-gauge (129 eyes) vitreoretinal surgery by four surgeons at a single center between September 2002 and November 2005 was conducted.Mean follow-up was 9.1 +/- 4.9 months in 25-gauge eyes and 14.3 +/- 8.4 months in 20-gauge eyes (P0.01). Intraoperative complications were mainly rhegmatogenous in nature and occurred at statistically similar incidence (4.7% in 25-gauge eyes, 6.9% in 20-gauge eyes). Postoperative complications that were significantly associated with surgical method included hypotony and serous choroidal effusions (7.9% in 25-gauge eyes, 1.6% in 20-gauge eyes, P = 0.02). Other postoperative complications noted included retinal tears and detachments (5.4% in 25-gauge eyes, 4.7% in 20-gauge eyes), persistent vitreous hemorrhage (5.4% in each group), and new vitreous hemorrhage (3.9% in 25-gauge eyes, 0.8% in 20-gauge eyes). Endophthalmitis was noted only in 25-gauge eyes in 2 cases (1.6%). Cataract progression occurred at similar rates in both groups (46%).25-gauge surgery is associated with a significantly greater incidence of postoperative serous choroidal effusions and hypotony. Of particular concern in 25-gauge surgery is the increased risk of associated endophthalmitis. Operative indications and case selection may be important in minimizing the tendency toward certain postoperative events. |
| Databáze: | OpenAIRE |
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