| DOES 23-GAUGE SUTURELESS VITRECTOMY MODIFY THE RISK OF POSTOPERATIVE RETINAL DETACHMENT AFTER MACULAR SURGERY?: A Comparison with 20-Gauge Vitrectomy. | |
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MedLine Citation:
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PMID: 21394061 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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PURPOSE:: To compare the cumulative risk of retinal detachment (RD) after macular surgery with 23-gauge sutureless vitrectomy and with 20-gauge vitrectomy. METHODS:: A single-center retrospective comparative study was conducted, comparing eyes operated for epiretinal membrane, macular hole, vitreomacular traction, and internal limiting membrane peeling. The 23-gauge group included 349 eyes operated consecutively between June 2007 and December 2008. The 20-gauge group included 346 eyes operated between October 2003 and September 2007. RESULTS:: After a 6-month follow-up, the cumulative probability of RD was 1.1% in the 23-gauge group and 3.5% in the 20-gauge group (P = 0.04). With a median follow-up of 14 months (range, 6-30 months) in the 23-gauge group and 30 months (range, 6-72 months) in the 20-gauge group, the cumulative probability of RD was, respectively, 1.1% and 4.9% (P = 0.04; log-rank test). Overall, RD was observed in 7 of 96 cases after macular hole surgery (7.3%), in 11 of 478 cases after epiretinal membrane surgery (2.3%), and in 3 of 70 cases after vitreomacular traction surgery (4.3%) (P = 0.14; log-rank test). CONCLUSION:: After a short-term follow-up, a lower rate of postoperative RD was observed in the 23-gauge group. Sutureless 23-gauge vitrectomy appears safe when considering the risk of postoperative RD. Prospective and long-term studies are still needed to confirm these results. |
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Authors:
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Jean-Francois Le Rouic; Frank Becquet; Didier Ducournau |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-3-09 |
Journal Detail:
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Title: Retina (Philadelphia, Pa.) Volume: - ISSN: 1539-2864 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-3-11 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309919 Medline TA: Retina Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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From the Vitreoretinal Department, Sourdille Clinic, Nantes, France. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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