25-, 23-, and 20-gauge vitrectomy in epiretinal membrane surgery: a comparative study of 553 cases

Purpose To compare the safety and functional outcomes of 25-gauge and 23-gauge (G) micro-incision vitrectomy surgery (MIVS) instrumentation with the standard 20-G vitrectomy system in the treatment of epiretinal membranes (ERM). Methods A retrospective comparative study of 553 consecutive cases with...

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Bibliographic Details
Published in:Graefe's archive for clinical and experimental ophthalmology 2011-12, Vol.249 (12), p.1811-1819
Main Authors: Sandali, Otman, El Sanharawi, Mohamed, Lecuen, Nicolas, Barale, Pierre-Olivier, Bonnel, Sebastien, Basli, Elena, Borderie, Vincent, Laroche, Laurent, Monin, Claire
Format: Article
Language:English
Subjects:
Aged
Epiretinal Membrane - physiopathology
Epiretinal Membrane - surgery
Female
Humans
Intraocular Pressure - physiology
Intraoperative Complications
Male
Medicine
Medicine & Public Health
Microsurgery - instrumentation
Microsurgery - methods
Ophthalmology
Postoperative Complications
Retinal Disorders
Retrospective Studies
Treatment Outcome
Visual Acuity - physiology
Vitrectomy - instrumentation
Vitrectomy - methods
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Summary:Purpose To compare the safety and functional outcomes of 25-gauge and 23-gauge (G) micro-incision vitrectomy surgery (MIVS) instrumentation with the standard 20-G vitrectomy system in the treatment of epiretinal membranes (ERM). Methods A retrospective comparative study of 553 consecutive cases with epiretinal membrane who underwent pars plana vitrectomy. Twenty-gauge, 25-gauge and 23-gauge vitrectomy was performed respectively in 347, 91, and 115 eyes. Surgery duration, visual acuity improvement, intraocular pressure variation, intraoperative and postoperative complications were analyzed. Results The mean surgical time in the 23-G group and in the 25-G group was shorter than in the 20-G group ( P  
ISSN:0721-832X
1435-702X
DOI:10.1007/s00417-011-1752-3