Document Detail


Endophthalmitis in the era of small gauge transconjunctival sutureless vitrectomy--meta analysis and review of literature.
MedLine Citation:
PMID:  21091012     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
PURPOSE: The goal of this study was to review, evaluate, and perform a meta-analysis on the current literature that reports rates of postoperative endophthalmitis after small gauge transconjunctival sutureless vitrectomy (TSV) and compare it to 20-gauge pars plana vitrectomy (20G PPV).
METHODS: We performed an extensive review of the current literature. We included only large comparative institutional reviews. Meta-analysis of these reviews was performed.
RESULTS: We found six large retrospective comparative cases series on the 25-gauge (25G) TSV as compared to 20G PPV. The test for homogeneity for the meta-analysis indicates that the studies are not homogeneous and therefore the evidence is tentative.
CONCLUSION: We cannot conclude that 25G TSV has a higher rate of postoperative endophthalmitis compared to the 20G PPV. Future retrospective or prospective trials need to take into consideration multiple factors.
Authors:
Hasan M Bahrani; Ahad A Fazelat; Mathis Thomas; Tatsuo Hirose; Arnold J Kroll; Peter L Lou; Edward A Ryan
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in ophthalmology     Volume:  25     ISSN:  1744-5205     ISO Abbreviation:  Semin Ophthalmol     Publication Date:    2010 Sep-Nov
Date Detail:
Created Date:  2010-11-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610759     Medline TA:  Semin Ophthalmol     Country:  England    
Other Details:
Languages:  eng     Pagination:  275-82     Citation Subset:  IM    
Affiliation:
Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA 02114, USA. hmbahrani@yahoo.com
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