Asset Details
Do you wish to reserve the book?
23-gauge versus 20-gauge system for pars plana vitrectomy: a prospective randomised clinical trial
Hey, we have placed the reservation for you!
By the way, why not check out events that you can attend while you pick your title.
Oops! Something went wrong.
Looks like we were not able to place the reservation. Kindly try again later.
Are you sure you want to remove the book from the shelf?
23-gauge versus 20-gauge system for pars plana vitrectomy: a prospective randomised clinical trial
Do you wish to request the book?
23-gauge versus 20-gauge system for pars plana vitrectomy: a prospective randomised clinical trial
Please be aware that the book you have requested cannot be checked out. If you would like to checkout this book, you can reserve another copy
We have requested the book for you!
Your request is successful and it will be processed during the Library working hours. Please check the status of your request in My Requests.
Oops! Something went wrong.
Looks like we were not able to place your request. Kindly try again later.
Journal Article
23-gauge versus 20-gauge system for pars plana vitrectomy: a prospective randomised clinical trial
2008
Overview
Aim:To compare the sutureless 23-gauge system with a standard 20-gauge system in pars plana vitrectomy.Methods:60 patients in two randomised groups were included in this prospective clinical trial. Pars plana vitrectomy with either 23- or 20-gauge instruments was performed. The main outcome measures were postoperative conjunctival injection and pain. Secondary outcome parameters were time of surgery, intraocular pressure, visual acuity and complications.Results:Conjunctival injection (p = 0.0003) and postoperative pain (p = 0.01) were significantly reduced following 23-gauge vitrectomy compared with the 20-gauge procedure. Opening (p = 0.006) and closure times (p<0.00001) were significantly shorter, and vitrectomy time (p = 0.001) significantly longer in the 23-gauge system compared with 20-gauge vitrectomy. However, retinal manipulation and overall surgery times did not differ significantly between both groups. The same applies for eye pressure, distance and reading acuity. Regarding complications, two choroidal haemorrhages and one flat serous choroidal detachment occurred in the 23-gauge group.Conclusion:The 23-gauge system for pars plana vitrectomy offers significantly higher patient comfort during the early postoperative period. Time of surgery is almost equal—a shorter time for wound closure is neutralised by a longer vitrectomy time in the 23-gauge group.
Publisher
BMJ Publishing Group Ltd,BMJ,BMJ Publishing Group LTD
Subject
/ Adult
/ Biological and medical sciences
/ Epiretinal Membrane - physiopathology
/ Epiretinal Membrane - surgery
/ Female
/ Humans
/ Intraocular Pressure - physiology
/ Male
/ Pain, Postoperative - etiology
/ Pars Planitis - physiopathology
/ Retinal Perforations - complications
/ Retinal Perforations - surgery
/ Vitrectomy - adverse effects
