Outcomes of 27 gauge pars plana vitrectomy for a variety of posterior segment diseases
Objective: To report our experience with 27 gauge (27G) pars plana vitrectomy (PPV) system for a variety of simple to complex posterior segment disorders Methods: Single center, Retrospective, Cohort study. Data of 665 eyes of 574 patients that underwent 27G PPV for a variety of indications from...
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| Format: | Article |
| Language: | English |
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Pakistan Medical Association
2021-11-01
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| Series: | Journal of the Pakistan Medical Association |
| Online Access: | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/2262 |
| _version_ | 1797820748116525056 |
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| author | Muhammad Amer Awan Fiza Shaheen Kholood Janjua |
| author_facet | Muhammad Amer Awan Fiza Shaheen Kholood Janjua |
| author_sort | Muhammad Amer Awan |
| collection | DOAJ |
| description |
Objective: To report our experience with 27 gauge (27G) pars plana vitrectomy (PPV) system for a variety of simple to complex posterior segment disorders
Methods: Single center, Retrospective, Cohort study. Data of 665 eyes of 574 patients that underwent 27G PPV for a variety of indications from July 2015 to June 2019 at a tertiary care hospital was analyzed.
Results: Common surgical indications included; Diabetic tractional retinal detachment (196, 29.5%), vitreous haemorrhage (191, 28.7%), full thickness macular hole (80, 12%), epiretinal membrane (66, 9.9%), endophthalmitis (26, 3.9%), tractional diabetic macular edema (14, 2.1%), ectopia lentis (11, 1.7%), dropped lens matter (13, 2%) and others (68, 10.2%). Mean operating time was 62 ± 37 minutes. With the exception of 2 cases where 20G fragmatome was utilized, no case required conversion to 20 gauge system while a 25G trocar was used for the silicon oil injection. Per-operative complications included; iatrogenic retinal tear (2 eyes, 0.3%) and supra choroidal silicon oil migration (1 eye, 0.15%). Post-operative complications were raised IOP (7 eyes, 1%), endophthalmitis (1 eye, 0.15%), hemorrhagic occlusive retinal vasculitis (1 eye, 0.15%) and retinal detachment (2 eyes, 0.3%). Mean Visual Acuity improved from 1.62 ± 0.68 logarithm of minimum angle of resolution (logMAR) to 0.4 ± 0.38 logMAR (P <0.001).
Conclusion: With 3 months follow up time, 27 G PPV has proved to be a safe and effective system for both simpler and complex retinal pathologies requiring significant surgical manipulation.
Continuous...
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| first_indexed | 2024-03-13T09:42:49Z |
| format | Article |
| id | doaj.art-bf38ff1233be436cb0852553afb30d47 |
| institution | Directory Open Access Journal |
| issn | 0030-9982 |
| language | English |
| last_indexed | 2024-03-13T09:42:49Z |
| publishDate | 2021-11-01 |
| publisher | Pakistan Medical Association |
| record_format | Article |
| series | Journal of the Pakistan Medical Association |
| spelling | doaj.art-bf38ff1233be436cb0852553afb30d472023-05-25T04:23:54ZengPakistan Medical AssociationJournal of the Pakistan Medical Association0030-99822021-11-01711110.47391/JPMA.12262Outcomes of 27 gauge pars plana vitrectomy for a variety of posterior segment diseasesMuhammad Amer Awan 0Fiza Shaheen1Kholood Janjua2Department of Vitreoretinal, Shifa College of Medicine, Shifa International Hospital, Islamabad, PakistanDepartment of Ophthalmology, Shifa International Hospital, Islamabad, PakistanDepartment of Clinical Research, Shifa Research Center, Shifa International Hospital, Islamabad, Pakistan Objective: To report our experience with 27 gauge (27G) pars plana vitrectomy (PPV) system for a variety of simple to complex posterior segment disorders Methods: Single center, Retrospective, Cohort study. Data of 665 eyes of 574 patients that underwent 27G PPV for a variety of indications from July 2015 to June 2019 at a tertiary care hospital was analyzed. Results: Common surgical indications included; Diabetic tractional retinal detachment (196, 29.5%), vitreous haemorrhage (191, 28.7%), full thickness macular hole (80, 12%), epiretinal membrane (66, 9.9%), endophthalmitis (26, 3.9%), tractional diabetic macular edema (14, 2.1%), ectopia lentis (11, 1.7%), dropped lens matter (13, 2%) and others (68, 10.2%). Mean operating time was 62 ± 37 minutes. With the exception of 2 cases where 20G fragmatome was utilized, no case required conversion to 20 gauge system while a 25G trocar was used for the silicon oil injection. Per-operative complications included; iatrogenic retinal tear (2 eyes, 0.3%) and supra choroidal silicon oil migration (1 eye, 0.15%). Post-operative complications were raised IOP (7 eyes, 1%), endophthalmitis (1 eye, 0.15%), hemorrhagic occlusive retinal vasculitis (1 eye, 0.15%) and retinal detachment (2 eyes, 0.3%). Mean Visual Acuity improved from 1.62 ± 0.68 logarithm of minimum angle of resolution (logMAR) to 0.4 ± 0.38 logMAR (P <0.001). Conclusion: With 3 months follow up time, 27 G PPV has proved to be a safe and effective system for both simpler and complex retinal pathologies requiring significant surgical manipulation. Continuous... https://www.ojs.jpma.org.pk/index.php/public_html/article/view/2262 |
| spellingShingle | Muhammad Amer Awan Fiza Shaheen Kholood Janjua Outcomes of 27 gauge pars plana vitrectomy for a variety of posterior segment diseases Journal of the Pakistan Medical Association |
| title | Outcomes of 27 gauge pars plana vitrectomy for a variety of posterior segment diseases |
| title_full | Outcomes of 27 gauge pars plana vitrectomy for a variety of posterior segment diseases |
| title_fullStr | Outcomes of 27 gauge pars plana vitrectomy for a variety of posterior segment diseases |
| title_full_unstemmed | Outcomes of 27 gauge pars plana vitrectomy for a variety of posterior segment diseases |
| title_short | Outcomes of 27 gauge pars plana vitrectomy for a variety of posterior segment diseases |
| title_sort | outcomes of 27 gauge pars plana vitrectomy for a variety of posterior segment diseases |
| url | https://www.ojs.jpma.org.pk/index.php/public_html/article/view/2262 |
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