J Korean Ophthalmol Soc > Volume 50(7); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(7):1066-1070.
DOI: https://doi.org/10.3341/jkos.2009.50.7.1066    Published online July 15, 2009.
Sclerotomy-related Retinal Breaks in Vitrectomy for Proliferative Diabetic Retinopathy: 20- vs 23-Gauge Systems.
Myun Ku, Hee Jin Sohn, Dae Yeong Lee, Dong Heun Nam
Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Korea. eyedawns@gilhospital.com
증식당뇨망막병증에서 23게이지와 20게이지 유리체절제술 시 공막절개관련 망막열공의 빈도 비교
구 면ㆍ손희진ㆍ이대영ㆍ남동흔
Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Korea
Abstract
PURPOSE
To compare the rate of intraoperative sclerotomy-related retinal breaks (SRRB) between 20- and 23-gauge vitrectomy for proliferative diabetic retinopathy (PDR). METHODS: Medical records of 62 consecutive eyes of 54 patients who underwent 20-gauge pars plana vitrectomy (PPV) and 63 consecutive eyes of 55 patients who received 23-gauge transconjunctival sutureless vitrectomy were retrospectively reviewed. RESULTS: Three (4.8%) out of 62 eyes in the 20-gauge group had SRRB and 1 (1.6%) eye developed retinal detachment at 4 months postoperatively, while 2 (3.2%) out of 63 eyes in the 23-gauge group had SRRB and 1 (1.6%) eye developed retinal detachment at 3 months postoperatively. CONCLUSIONS: There were no significant differences in the rates of sclerotomy-related retinal breaks and sclerotomy-related retinal detachments between 20-gauge PPV and 23-gauge PPV for PDR.
Key Words: Retinal break;Sclerotomy;Sutureless vitrectomy;23 Gauge


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