Twenty-seven-gauge vitrectomy: a consecutive, single-centre case series with exclusive use over a 4-year period
Abstract Background To assess the safety and effectiveness of the exclusive use of 27-gauge instruments for all vitreoretinal diseases requiring vitrectomy. Methods In this retrospective study, 1020 consecutive surgeries were performed on 958 eyes of 848 patients using 27-gauge instruments from Marc...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-12-01
|
| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12886-023-03265-w |
| _version_ | 1797377111130898432 |
|---|---|
| author | Eugene Ng Mouayad Masalkhi David H. Steel Jasna Pavičić-Astaloš Claire Nolan Sarah Mernagh Emmanuel Ankamah |
| author_facet | Eugene Ng Mouayad Masalkhi David H. Steel Jasna Pavičić-Astaloš Claire Nolan Sarah Mernagh Emmanuel Ankamah |
| author_sort | Eugene Ng |
| collection | DOAJ |
| description | Abstract Background To assess the safety and effectiveness of the exclusive use of 27-gauge instruments for all vitreoretinal diseases requiring vitrectomy. Methods In this retrospective study, 1020 consecutive surgeries were performed on 958 eyes of 848 patients using 27-gauge instruments from March 2017 to June 2021. Patients with a minimum follow-up of 3 months were included. Surgical case-mix, best-corrected visual acuity (BCVA), intraocular pressure (IOP), intra- and post-operative complications, and surgery times were recorded. Results The study patients were followed up for averagely 11 months. Of the 1020 vitrectomies, 958 were primary procedures. Of the 148 retinal detachment (RD) cases, 138 (93%) required a single vitrectomy. Primary macular hole closure was achieved in 143 of 145 (99%) cases. The average surgical times were 55 and 38 min for RD surgeries and for all other indications, respectively. BCVA improved significantly at the final visit (20/49) compared with the pre-operative visit (20/78) (p < 0.01). IOP was similar at the pre-operative (14.8mmHg) and final (14.3mmHg) visits. Complications recorded include transient hypotony in 39 eyes, iatrogenic retinal breaks in 2 eyes, and a vitreous bleed in 1 other eye. Conclusion This study revealed that 27-gauge vitrectomy instruments can be used for a wide range of indications, with exclusive use in certain settings. The outcomes were similar to other gauges, including for rhegmatogenous retinal detachment, with minimal complications. |
| first_indexed | 2024-03-08T19:48:15Z |
| format | Article |
| id | doaj.art-54dcacf3ed684c2e8e01cf1d7384dbd8 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-03-08T19:48:15Z |
| publishDate | 2023-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-54dcacf3ed684c2e8e01cf1d7384dbd82023-12-24T12:12:29ZengBMCBMC Ophthalmology1471-24152023-12-012311910.1186/s12886-023-03265-wTwenty-seven-gauge vitrectomy: a consecutive, single-centre case series with exclusive use over a 4-year periodEugene Ng0Mouayad Masalkhi1David H. Steel2Jasna Pavičić-Astaloš3Claire Nolan4Sarah Mernagh5Emmanuel Ankamah6Institute of Eye Surgery, UPMC Whitfield HospitalInstitute of Eye Surgery, UPMC Whitfield HospitalBioscience Institute, Newcastle UniversityInstitute of Eye Surgery, UPMC Whitfield HospitalInstitute of Eye Surgery, UPMC Whitfield HospitalInstitute of Eye Surgery, UPMC Whitfield HospitalInstitute of Eye Surgery, UPMC Whitfield HospitalAbstract Background To assess the safety and effectiveness of the exclusive use of 27-gauge instruments for all vitreoretinal diseases requiring vitrectomy. Methods In this retrospective study, 1020 consecutive surgeries were performed on 958 eyes of 848 patients using 27-gauge instruments from March 2017 to June 2021. Patients with a minimum follow-up of 3 months were included. Surgical case-mix, best-corrected visual acuity (BCVA), intraocular pressure (IOP), intra- and post-operative complications, and surgery times were recorded. Results The study patients were followed up for averagely 11 months. Of the 1020 vitrectomies, 958 were primary procedures. Of the 148 retinal detachment (RD) cases, 138 (93%) required a single vitrectomy. Primary macular hole closure was achieved in 143 of 145 (99%) cases. The average surgical times were 55 and 38 min for RD surgeries and for all other indications, respectively. BCVA improved significantly at the final visit (20/49) compared with the pre-operative visit (20/78) (p < 0.01). IOP was similar at the pre-operative (14.8mmHg) and final (14.3mmHg) visits. Complications recorded include transient hypotony in 39 eyes, iatrogenic retinal breaks in 2 eyes, and a vitreous bleed in 1 other eye. Conclusion This study revealed that 27-gauge vitrectomy instruments can be used for a wide range of indications, with exclusive use in certain settings. The outcomes were similar to other gauges, including for rhegmatogenous retinal detachment, with minimal complications.https://doi.org/10.1186/s12886-023-03265-w27-gaugePars plana vitrectomyRetinal detachmentVitreoretinal Disease |
| spellingShingle | Eugene Ng Mouayad Masalkhi David H. Steel Jasna Pavičić-Astaloš Claire Nolan Sarah Mernagh Emmanuel Ankamah Twenty-seven-gauge vitrectomy: a consecutive, single-centre case series with exclusive use over a 4-year period BMC Ophthalmology 27-gauge Pars plana vitrectomy Retinal detachment Vitreoretinal Disease |
| title | Twenty-seven-gauge vitrectomy: a consecutive, single-centre case series with exclusive use over a 4-year period |
| title_full | Twenty-seven-gauge vitrectomy: a consecutive, single-centre case series with exclusive use over a 4-year period |
| title_fullStr | Twenty-seven-gauge vitrectomy: a consecutive, single-centre case series with exclusive use over a 4-year period |
| title_full_unstemmed | Twenty-seven-gauge vitrectomy: a consecutive, single-centre case series with exclusive use over a 4-year period |
| title_short | Twenty-seven-gauge vitrectomy: a consecutive, single-centre case series with exclusive use over a 4-year period |
| title_sort | twenty seven gauge vitrectomy a consecutive single centre case series with exclusive use over a 4 year period |
| topic | 27-gauge Pars plana vitrectomy Retinal detachment Vitreoretinal Disease |
| url | https://doi.org/10.1186/s12886-023-03265-w |
| work_keys_str_mv | AT eugeneng twentysevengaugevitrectomyaconsecutivesinglecentrecaseserieswithexclusiveuseovera4yearperiod AT mouayadmasalkhi twentysevengaugevitrectomyaconsecutivesinglecentrecaseserieswithexclusiveuseovera4yearperiod AT davidhsteel twentysevengaugevitrectomyaconsecutivesinglecentrecaseserieswithexclusiveuseovera4yearperiod AT jasnapavicicastalos twentysevengaugevitrectomyaconsecutivesinglecentrecaseserieswithexclusiveuseovera4yearperiod AT clairenolan twentysevengaugevitrectomyaconsecutivesinglecentrecaseserieswithexclusiveuseovera4yearperiod AT sarahmernagh twentysevengaugevitrectomyaconsecutivesinglecentrecaseserieswithexclusiveuseovera4yearperiod AT emmanuelankamah twentysevengaugevitrectomyaconsecutivesinglecentrecaseserieswithexclusiveuseovera4yearperiod |