A comparative study of 25G+ versus 27G+ vitrectomy for the treatment of idiopathic macular hole
AIM:To compare the clinical effects of 25G+ and 27G+ transconjunctival sutureless vitrectomy in treating idiopathic macular hole.<p>METHODS: We retrospectively reviewed the clinical outcomes of 56 eyes(56 patients)with idiopathic macular hole which were treated with micro-incision vitrectomy f...
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| Format: | Article |
| Language: | English |
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Press of International Journal of Ophthalmology (IJO PRESS)
2017-07-01
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| Series: | Guoji Yanke Zazhi |
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| Online Access: | http://ies.ijo.cn/cn_publish/2017/7/201707024.pdf |
| _version_ | 1818614449695621120 |
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| author | San-Mei Liu Dong-Feng Li Jie Li Jie Zhong Cai-Hong Zhou Xiao-Dan Xu |
| author_facet | San-Mei Liu Dong-Feng Li Jie Li Jie Zhong Cai-Hong Zhou Xiao-Dan Xu |
| author_sort | San-Mei Liu |
| collection | DOAJ |
| description | AIM:To compare the clinical effects of 25G+ and 27G+ transconjunctival sutureless vitrectomy in treating idiopathic macular hole.<p>METHODS: We retrospectively reviewed the clinical outcomes of 56 eyes(56 patients)with idiopathic macular hole which were treated with micro-incision vitrectomy from June 2015 to September 2016. Patients were divided into two groups, 28 patients(28 eyes)were treated with 25G+ vitrectomy and the rest(28 eyes)were treated with 27G+ vitrectomy. The operative time and intraoperative complications were recorded and patients were followed up for 3-6mo. During the follow up period, best correct vision acuity(BCVA), intraocular pressure, macular hole healing and postoperative complications were documented and statistically analyzed. <p>RESULTS: BCVA in two groups were significantly improved after surgery(<i>P</i><0.001)and there was no significant difference between the two groups(<i>P</i>=0.84). No serious complications occurred. No statistically significant difference was found between the two groups in surgical time and healing rate of macular hole(<i>P</i>=0.57, 0.64). The incidence of low intraocular pressure(IOP<10mmHg)in 27G+ group was lower than that in 25G+ group on the first day after surgery(<i>P</i>=0.31). There was no significant difference between preoperative and postoperative intraocular pressure at 1wk after operation in both groups(<i>P</i>=0.72, 0.92). <p>CONCLUSION: Both 25G+ and 27G+ vitrectomy are safe and effective technique in treating idiopathic macular hole. Besides, 27G+ showed better superiority on the maintenance of intraocular pressure and reduce the trauma. |
| first_indexed | 2024-12-16T16:18:12Z |
| format | Article |
| id | doaj.art-ba465d8516194a00ae63eeb5ba5e05c4 |
| institution | Directory Open Access Journal |
| issn | 1672-5123 1672-5123 |
| language | English |
| last_indexed | 2024-12-16T16:18:12Z |
| publishDate | 2017-07-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | Guoji Yanke Zazhi |
| spelling | doaj.art-ba465d8516194a00ae63eeb5ba5e05c42022-12-21T22:25:00ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232017-07-011771293129610.3980/j.issn.1672-5123.2017.7.24A comparative study of 25G+ versus 27G+ vitrectomy for the treatment of idiopathic macular holeSan-Mei Liu0Dong-Feng Li1Jie Li2Jie Zhong3Cai-Hong Zhou4Xiao-Dan Xu5Department of Ophthalmology,Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, ChinaDepartment of Ophthalmology,Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, ChinaDepartment of Ophthalmology,Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, ChinaDepartment of Ophthalmology,Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, ChinaDepartment of Ophthalmology,Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, ChinaDepartment of Ophthalmology,Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, Chengdu 610072, Sichuan Province, ChinaAIM:To compare the clinical effects of 25G+ and 27G+ transconjunctival sutureless vitrectomy in treating idiopathic macular hole.<p>METHODS: We retrospectively reviewed the clinical outcomes of 56 eyes(56 patients)with idiopathic macular hole which were treated with micro-incision vitrectomy from June 2015 to September 2016. Patients were divided into two groups, 28 patients(28 eyes)were treated with 25G+ vitrectomy and the rest(28 eyes)were treated with 27G+ vitrectomy. The operative time and intraoperative complications were recorded and patients were followed up for 3-6mo. During the follow up period, best correct vision acuity(BCVA), intraocular pressure, macular hole healing and postoperative complications were documented and statistically analyzed. <p>RESULTS: BCVA in two groups were significantly improved after surgery(<i>P</i><0.001)and there was no significant difference between the two groups(<i>P</i>=0.84). No serious complications occurred. No statistically significant difference was found between the two groups in surgical time and healing rate of macular hole(<i>P</i>=0.57, 0.64). The incidence of low intraocular pressure(IOP<10mmHg)in 27G+ group was lower than that in 25G+ group on the first day after surgery(<i>P</i>=0.31). There was no significant difference between preoperative and postoperative intraocular pressure at 1wk after operation in both groups(<i>P</i>=0.72, 0.92). <p>CONCLUSION: Both 25G+ and 27G+ vitrectomy are safe and effective technique in treating idiopathic macular hole. Besides, 27G+ showed better superiority on the maintenance of intraocular pressure and reduce the trauma.http://ies.ijo.cn/cn_publish/2017/7/201707024.pdfidiopathic macular hole27G+ transconjunctival sutureless vitrectomyvitreoretinal diseasevitreoretinal disease |
| spellingShingle | San-Mei Liu Dong-Feng Li Jie Li Jie Zhong Cai-Hong Zhou Xiao-Dan Xu A comparative study of 25G+ versus 27G+ vitrectomy for the treatment of idiopathic macular hole Guoji Yanke Zazhi idiopathic macular hole 27G+ transconjunctival sutureless vitrectomy vitreoretinal disease vitreoretinal disease |
| title | A comparative study of 25G+ versus 27G+ vitrectomy for the treatment of idiopathic macular hole |
| title_full | A comparative study of 25G+ versus 27G+ vitrectomy for the treatment of idiopathic macular hole |
| title_fullStr | A comparative study of 25G+ versus 27G+ vitrectomy for the treatment of idiopathic macular hole |
| title_full_unstemmed | A comparative study of 25G+ versus 27G+ vitrectomy for the treatment of idiopathic macular hole |
| title_short | A comparative study of 25G+ versus 27G+ vitrectomy for the treatment of idiopathic macular hole |
| title_sort | comparative study of 25g versus 27g vitrectomy for the treatment of idiopathic macular hole |
| topic | idiopathic macular hole 27G+ transconjunctival sutureless vitrectomy vitreoretinal disease vitreoretinal disease |
| url | http://ies.ijo.cn/cn_publish/2017/7/201707024.pdf |
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