BACKGROUND AND OBJECTIVE: To evaluate the outcome of 25-gauge transconjunctival pars plana vitrectomy and compare it with that of 20-gauge pars plana vitrectomy for primary repair of rhegmatogenous retinal detachment. PATIENTS AND METHODS: A retrospective study of a consecutive series of 166 eyes of 164 patients who underwent pars plana vitrectomy for primary rhegmatogenous retinal detachment was performed. One hundred nineteen eyes underwent 25-gauge vitrectomy and 47 eyes underwent 20-gauge vitrectomy. RESULTS: The anatomic success rates after the initial surgery in the 25-gauge vitrectomy and 20-gauge vitrectomy groups were 93.3% and 91.5%, respectively. The median visual acuity improved significantly from 20/80 preoperatively to 20/30 postoperatively in the 25-gauge group, and from 20/90 to 20/30 in the 20-gauge group. CONCLUSION: Good anatomic and functional results were achieved with 25-gauge vitrectomy and the outcomes compared favorably with those of 20-gauge vitrectomy for the treatment of rhegmatogenous retinal detachment. Copyright 2010, SLACK Incorporated.
BACKGROUND AND OBJECTIVE: To evaluate the outcome of 25-gauge transconjunctival pars plana vitrectomy and compare it with that of 20-gauge pars plana vitrectomy for primary repair of rhegmatogenous retinal detachment. PATIENTS AND METHODS: A retrospective study of a consecutive series of 166 eyes of 164 patients who underwent pars plana vitrectomy for primary rhegmatogenous retinal detachment was performed. One hundred nineteen eyes underwent 25-gauge vitrectomy and 47 eyes underwent 20-gauge vitrectomy. RESULTS: The anatomic success rates after the initial surgery in the 25-gauge vitrectomy and 20-gauge vitrectomy groups were 93.3% and 91.5%, respectively. The median visual acuity improved significantly from 20/80 preoperatively to 20/30 postoperatively in the 25-gauge group, and from 20/90 to 20/30 in the 20-gauge group. CONCLUSION: Good anatomic and functional results were achieved with 25-gauge vitrectomy and the outcomes compared favorably with those of 20-gauge vitrectomy for the treatment of rhegmatogenous retinal detachment. Copyright 2010, SLACK Incorporated.
Authors: J Carlos Pastor; Itziar Fernández; Rosa M Coco; María R Sanabria; Enrique Rodríguez de la Rúa; Rosa M Piñon; Vicente Martinez; Anna Sala-Puigdollers; José M Gallardo; Sara Velilla Journal: ISRN Ophthalmol Date: 2012-10-08