27-GAUGE VITRECTOMY WOUND INTEGRITY
| Autor: | Alia Durrani, Jason Hsu, M. Ali Khan, Carl D. Regillo |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Pars plana Intraocular pressure medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment Visual Acuity Pilot Projects Vitrectomy law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Humans Medicine Intraocular Pressure Aged Aged 80 and over business.industry Wound leak Epiretinal Membrane General Medicine Middle Aged medicine.disease eye diseases Surgery Ophthalmology Serous choroidal detachment medicine.anatomical_structure 030221 ophthalmology & optometry Female sense organs Epiretinal membrane medicine.symptom business Sclera 030217 neurology & neurosurgery |
| Zdroj: | Retina. 38:678-683 |
| ISSN: | 0275-004X |
| DOI: | 10.1097/iae.0000000000001598 |
| Popis: | PURPOSE To compare clinical outcomes using angled versus straight trocar insertion during 27-gauge pars plana vitrectomy for epiretinal membrane. METHODS Pilot randomized controlled trial. Thirty eyes of 30 patients undergoing 27-gauge pars plana vitrectomy with membrane peeling for epiretinal membrane were randomized 1:1 to receive angled or straight trocar insertion. Intraocular pressure (IOP) and postoperative wound-related complications were compared. RESULTS Fifteen eyes were randomized to each the angled and straight incision groups. No significant difference in phakic status (P = 0.71) or preoperative IOP (15.1 ± 3.4 vs. 14.6 ± 3.0 mmHg, P = 0.67) existed between groups. On postoperative Day 1, eyes in the straight group had lower IOP compared with the angled group (11.8 ± 3.9 vs. 15.3 ± 5.2 mmHg, P = 0.04) and a relative decrease in IOP compared with preoperative values (11.8 ± 3.9 vs. 15.1 ± 3.4 mmHg, P < 0.01). No IOP difference between groups was present at Day 7 (P = 0.43) or Day 30 (P = 0.42). Postoperative complications included transient hypotony (1 eye, straight group) and serous choroidal detachment (1 eye, angled group). CONCLUSION Eyes with straight incisions had transiently lower IOP on postoperative Day 1, possibly suggestive of subclinical wound leak in the very early postoperative period. Overall, rates of hypotony and sclerotomy-related complications were similarly low between wound construction strategies. |
| Databáze: | OpenAIRE |
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