Comparative Evaluation of 23- and 25-Gauge Microincision Vitrectomy Surgery in Management of Diabetic Macular Traction Retinal Detachment

2014 ◽  
Vol 24 (1) ◽  
pp. 107-113 ◽  
Author(s):  
Atul Kumar ◽  
Kavita Duraipandi ◽  
Varun Gogia ◽  
Sri Vatsa Sehra ◽  
Shikha Gupta ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Comparative Evaluation ◽  
Traction Retinal Detachment ◽  
Microincision Vitrectomy Surgery ◽  
Vitrectomy Surgery

Microincision Vitrectomy Surgery and Intravitreal Bevacizumab as a Surgical Adjunct to Treat Diabetic Traction Retinal Detachment

Ophthalmology ◽  
2009 ◽  
Vol 116 (5) ◽  
pp. 927-938 ◽  
Author(s):  
Yusuke Oshima ◽  
Chiharu Shima ◽  
Taku Wakabayashi ◽  
Shunji Kusaka ◽  
Fumio Shiraga ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Intravitreal Bevacizumab ◽  
Traction Retinal Detachment ◽  
Microincision Vitrectomy Surgery ◽  
Surgical Adjunct ◽  
Vitrectomy Surgery

scholarly journals Retrospective Comparison of 27-Gauge and 25-Gauge Microincision Vitrectomy Surgery with Silicone Oil for the Treatment of Primary Rhegmatogenous Retinal Detachment

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Jie Li ◽  
Bo Zhao ◽  
Sanmei Liu ◽  
Fang Li ◽  
Wentao Dong ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Silicone Oil ◽  
Final Visit ◽  
Functional Difference ◽  
Surgical Time ◽  
Intraoperative Complication ◽  
Significant Difference ◽  
Microincision Vitrectomy Surgery ◽  
Vitrectomy Surgery

Aim. To retrospectively compare the safety and effectiveness of 27-gauge (27G) microincision vitrectomy surgery (MIVS) with 25-guage (25G) MIVS for the treatment of primary rhegmatogenous retinal detachment (RRD) with silicone oil tamponade. Methods. Ninety-two patients with RRD who underwent MIVS from May 1, 2015, to June 30, 2017, were included in this study. Fifty-eight eyes underwent 25G MIVS and 34 eyes underwent 27G MIVS. We analyzed the characteristics of the patients, surgical time, main clinical outcomes, and rate of complications. Results. The mean surgical time was 56.7 ± 35.9 min for the 25G MIVS and 55.7 ± 36.1 min for the 27G MIVS, and there was no significant difference (P=0.894) between the two groups. The primary anatomical success rate after a single operation was 94.8% for 25G MIVS and 91.2% for 27G MIVS (P=0.666). Baseline and final visit best-corrected visual acuity (BCVA) were 1.9 ± 1.1 and 1.0 ± 0.8 in the 25G group, and 1.7 ± 1.0 and 1.1 ± 0.8 in the 27G group. Last visit BCVA increased significantly in both groups (P<0.001). However, there were no significant differences in terms of visual improvement ratio (>0.2 logMAR) between the two groups (P=0.173). No severe intraoperative complication was observed. Iatrogenic retinal breaks occurred in 2 eyes (3.4%) in the 25G group and 1 eye (2.9%) in the 27G group during the peripheral vitreous base shaving. The transient ocular hypertension (>25 mmHg) within postoperative week 1 was 25.9% in the 25G group and 11.8% in the 27G group (P=0.120). Conclusions. This study found no significant anatomical or functional difference between 27G and 25G MIVS in the treatment of primary RRD. Therefore, 27G vitrectomy appears to be a safe and effective surgery for the treatment of primary RRD.

scholarly journals Heads-Up Macular Surgery with a 27-Gauge Microincision Vitrectomy System and Minimal Illumination

2016 ◽  
Vol 7 (3) ◽  
pp. 543-547 ◽  
Author(s):  
Hiroshi Kunikata ◽  
Toshiaki Abe ◽  
Toru Nakazawa
Keyword(s):  
Case Series ◽  
Macular Disease ◽  
3 Dimensional ◽  
Illumination System ◽  
Invasive Method ◽  
Microincision Vitrectomy Surgery ◽  
Intraoperative Visualization ◽  
Vitrectomy Surgery ◽  
Vitrectomy System

Objective: We combined heads-up 3-dimensional (3D) 27-gauge microincision vitrectomy surgery (27GMIVS) with a very low-intensity illumination system. Methods: This study was based on a retrospective, interventional case series of 6 eyes of 6 patients with macular disease. All patients underwent heads-up 3D 27GMIVS and the power of the intraocular illuminator was set to its minimum level, 1% (approximately 0.1 lm), throughout the surgery. Results: We found that the procedure was easy when the heads-up 3D system was used, but not through the eyepiece of a microscope. All surgeries were successfully finished without any complications. Postoperative visual acuity was restored or maintained in all eyes during the follow-up period. Conclusion: Heads-up, 3D system-assisted 27GMIVS with minimal illumination enabled excellent intraoperative visualization of retinal tissues, caused minimal phototoxicity to the macular retinal cells, and might therefore represent the next step in the development of an ideal, minimally invasive method of treating macular disease.

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