Efficacy of 23-gauge vitrectomy cutter replaeing scissors in conventional 20-gauge pars plana vitrectomy for severe PDR

AIM: To determine whether the 23-gauge(23G)vitrecomy cutter could replace scissors in conventional 20-gauge(20G)pars plana vitrectomy for treating severe proliferative diabetic retinopathy(PDR).<p>METHODS:Non-comparative interventional case series. Totally 27 eyes of 27 patients with PDR stage...

Full description

Bibliographic Details
Main Authors: Ling Gong, De-Yong Jiang
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2014-06-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://www.ies.net.cn/cn_publish/2014/6/201406052.pdf
_version_ 1811262642394759168
author Ling Gong
De-Yong Jiang
author_facet Ling Gong
De-Yong Jiang
author_sort Ling Gong
collection DOAJ
description AIM: To determine whether the 23-gauge(23G)vitrecomy cutter could replace scissors in conventional 20-gauge(20G)pars plana vitrectomy for treating severe proliferative diabetic retinopathy(PDR).<p>METHODS:Non-comparative interventional case series. Totally 27 eyes of 27 patients with PDR stageⅥ confirmed by funduscopy and B-ultrasound scan were enrolled. They underwent 20G vitrectomy, in which 23G vitrectomy cutter replaced scissors to remove neuvascular membrane. All 27 eyes received complete panretinal photocoagulation, 17 eyes received no tamponade, 6 eyes were 12% C<sub>3</sub>F<sub>8</sub> tamponade, 4 eyes were filled with silicone oil. The follow up time was 3mo. The operation duration time, iatrogenic retinal tear and retinal bleeding need electric coagulation, best corrected visual acuity(BCVA), retinal reattachment were analyzed.<p>RESULTS: The operative time was 35-120(average 79.19±29.82)min; intraoperative iatrogenic retinal breaks were detected in 2 eyes(7%). At the end of 3mo follow up, BCVA>0.1 were in 9 eyes, from 0.05-0.1 in 10 eyes, <0.05 in 8 eyes. Retinal reattached in 25 eyes(93%), still detached in other 2 eyes with silicone oil.<p>CONCLUSION: The 23G vitrectomy cutter could replace scissors in conventional 20G pars plana vitrectomy for treating severe PDR.
first_indexed 2024-04-12T19:29:13Z
format Article
id doaj.art-0a3d6e65779a47ffb7abc39180bdc600
institution Directory Open Access Journal
issn 1672-5123
1672-5123
language English
last_indexed 2024-04-12T19:29:13Z
publishDate 2014-06-01
publisher Press of International Journal of Ophthalmology (IJO PRESS)
record_format Article
series Guoji Yanke Zazhi
spelling doaj.art-0a3d6e65779a47ffb7abc39180bdc6002022-12-22T03:19:22ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232014-06-011461159116010.3980/j.issn.1672-5123.2014.06.52Efficacy of 23-gauge vitrectomy cutter replaeing scissors in conventional 20-gauge pars plana vitrectomy for severe PDRLing Gong0De-Yong Jiang1Hunan Bright-Yard Eye Hospital, Changsha 410007, Hunan Province, ChinaHunan Bright-Yard Eye Hospital, Changsha 410007, Hunan Province, ChinaAIM: To determine whether the 23-gauge(23G)vitrecomy cutter could replace scissors in conventional 20-gauge(20G)pars plana vitrectomy for treating severe proliferative diabetic retinopathy(PDR).<p>METHODS:Non-comparative interventional case series. Totally 27 eyes of 27 patients with PDR stageⅥ confirmed by funduscopy and B-ultrasound scan were enrolled. They underwent 20G vitrectomy, in which 23G vitrectomy cutter replaced scissors to remove neuvascular membrane. All 27 eyes received complete panretinal photocoagulation, 17 eyes received no tamponade, 6 eyes were 12% C<sub>3</sub>F<sub>8</sub> tamponade, 4 eyes were filled with silicone oil. The follow up time was 3mo. The operation duration time, iatrogenic retinal tear and retinal bleeding need electric coagulation, best corrected visual acuity(BCVA), retinal reattachment were analyzed.<p>RESULTS: The operative time was 35-120(average 79.19±29.82)min; intraoperative iatrogenic retinal breaks were detected in 2 eyes(7%). At the end of 3mo follow up, BCVA>0.1 were in 9 eyes, from 0.05-0.1 in 10 eyes, <0.05 in 8 eyes. Retinal reattached in 25 eyes(93%), still detached in other 2 eyes with silicone oil.<p>CONCLUSION: The 23G vitrectomy cutter could replace scissors in conventional 20G pars plana vitrectomy for treating severe PDR.http://www.ies.net.cn/cn_publish/2014/6/201406052.pdfproliferative diabetic retinopathyvitrectomy23-gauge23-gauge
spellingShingle Ling Gong
De-Yong Jiang
Efficacy of 23-gauge vitrectomy cutter replaeing scissors in conventional 20-gauge pars plana vitrectomy for severe PDR
Guoji Yanke Zazhi
proliferative diabetic retinopathy
vitrectomy
23-gauge
23-gauge
title Efficacy of 23-gauge vitrectomy cutter replaeing scissors in conventional 20-gauge pars plana vitrectomy for severe PDR
title_full Efficacy of 23-gauge vitrectomy cutter replaeing scissors in conventional 20-gauge pars plana vitrectomy for severe PDR
title_fullStr Efficacy of 23-gauge vitrectomy cutter replaeing scissors in conventional 20-gauge pars plana vitrectomy for severe PDR
title_full_unstemmed Efficacy of 23-gauge vitrectomy cutter replaeing scissors in conventional 20-gauge pars plana vitrectomy for severe PDR
title_short Efficacy of 23-gauge vitrectomy cutter replaeing scissors in conventional 20-gauge pars plana vitrectomy for severe PDR
title_sort efficacy of 23 gauge vitrectomy cutter replaeing scissors in conventional 20 gauge pars plana vitrectomy for severe pdr
topic proliferative diabetic retinopathy
vitrectomy
23-gauge
23-gauge
url http://www.ies.net.cn/cn_publish/2014/6/201406052.pdf
work_keys_str_mv AT linggong efficacyof23gaugevitrectomycutterreplaeingscissorsinconventional20gaugeparsplanavitrectomyforseverepdr
AT deyongjiang efficacyof23gaugevitrectomycutterreplaeingscissorsinconventional20gaugeparsplanavitrectomyforseverepdr