ID 106003
Author
Sayed, Khulood Mohammed Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University|Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
Naito, Takeshi Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Farouk, Mahmoud Mohamed Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University|Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
Nagasawa, Toshihiko Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
Katome, Takashi Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Abd El-Latif, Ismail Mousa Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University
Abdallah, Ahmad Mostafa Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University
Mohamed, Usama Ali Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University
Mitamura, Yoshinori Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
20-gauge vitrectomy
25-gauge transconjunctival sutureless vitrectomy
epiretinal membrane
microcannulas
Content Type
Journal Article
Description
Purpose : To compare visual outcomes, intraoperative and postoperative complications of 25-gauge transconjunctival sutureless vitrectomy (25-G TSV) versus conventional 20-gauge vitrectomy in epiretinal membrane (ERM) surgery. Methods : A retrospective comparative study was conducted on 200 eyes with idiopathic ERM who underwent either primary 20-gauge vitrectomy (n=95) or 25-G TSV (n=105) with 6 months follow up. The following parameters were collected and compared : age, gender, best corrected visual acuity (BCVA), intraocular pressure (IOP), postoperative anterior chamber inflammation, intraoperative and postoperative complications. Results : Twenty-five gauge group achieved a significantly better vision at the 1st postoperative month (p=0.008) and a significantly higher incidence of visual improvement 6 months postoperatively (p=0.04) than 20-gauge group. Intraocular pressure was significantly higher at the 1st, 3rd and 6th postoperative months compared with baseline in the 20-G group. However, in the 25-gauge group IOP remained near to the baseline at the same period. Twenty five-gauge group achieved a significantly lower anterior chamber inflammation and a lower incidence of postoperative cystoid macular edema (CME) (p=0.01), hyphema (p=0.000) and after cataract (p=0.000) than 20-gauge group. Conclusions : The 25-gauge sutureless vitrectomy achieves rapid and higher visual improvement, less postoperative inflammation and complications than the 20-gauge vitrectomy in ERM surgery.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
59
Issue
1-2
Start Page
69
End Page
78
Sort Key
69
Published Date
2012-02
EDB ID
FullText File
language
eng
TextVersion
Publisher
departments
International Center
University Hospital
Medical Sciences