0 102

Cited 8 times in

COMPARISON OF SURGICAL OUTCOME OF 23-GAUGE AND 25-GAUGE MICROINCISION VITRECTOMY SURGERY FOR MANAGEMENT OF IDIOPATHIC EPIRETINAL MEMBRANE IN PSEUDOPHAKIC EYES

Authors
 MIN KIM  ;  YONG SIK PARK  ;  DONG HYUN LEE  ;  HYOUNG JUN KOH  ;  SUNG CHUL LEE  ;  SUNG SOO KIM 
Citation
 Retina- the Journal of Retinal and Vitreous Diseases, Vol.35(10) : 2115-2120, 2015 
Journal Title
 Retina- the Journal of Retinal and Vitreous Diseases 
ISSN
 0275-004X 
Issue Date
2015
MeSH
Aged ; Epiretinal Membrane/physiopathology ; Epiretinal Membrane/surgery* ; Female ; Humans ; Intraocular Pressure/physiology ; Intraoperative Complications ; Male ; Microsurgery/methods* ; Middle Aged ; Postoperative Complications ; Pseudophakia/complications* ; Retrospective Studies ; Visual Acuity/physiology ; Vitrectomy/methods*
Abstract
PURPOSE: To compare the visual outcomes and occurrences of postoperative complications after 23-gauge (G) and 25-G microincision vitrectomy surgery (MIVS) for idiopathic epiretinal membrane in pseudophakic eyes. METHODS: A total of 239 pseudophakic eyes of 239 patients who underwent 23-G (n = 159) or 25-G MIVS (n = 80) for removal of idiopathic epiretinal membrane between March 2010 and March 2013 were included in this retrospective study. Patients were followed up on postoperative 1 day, 1 week, 1, 3, and 6 months. Postoperative visual acuity, intraocular pressure, and intraoperative or postoperative complications were compared between the 23-G and 25-G MIVS groups. RESULTS: Both groups showed a statistically significant improvement in best-corrected visual acuity at postoperative 1, 3, and 6 months (All P < 0.05). Furthermore, the mean change of best-corrected visual acuity was not significantly different between the 2 groups at postoperative 1, 3, and 6 months (P = 0.208, P = 0.547, and P = 0.519, respectively), but 25-G MIVS group showed faster visual recovery than 23-G MIVS group at postoperative 1 day and at 1 week (P = 0.015, and P < 0.001, respectively). Severe hypotony of intraocular pressure less than 6 mmHg (3 eyes, 1.9%) or intraocular pressure elevation over 30 mmHg at postoperative 1 day (3 eyes, 1.9%) was found in the 23-G group, but not in the 25-G group, and was not statistically different between the groups (P = 0.553). More eyes required intraoperative suturing of sclerotomy sites in the 23-G group (18 eyes, 11.3%), whereas none of the eyes in the 25-G group needed suturing of sclerotomy (P < 0.002). CONCLUSION: Both 23-G and 25-G MIVS yielded comparable visual outcomes for surgical treatment of idiopathic epiretinal membrane in pseudophakic eyes. The 25-G MIVS was associated with faster visual recovery and less postoperative hypotony than 23-G surgery.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006982-201510000-00025&LSLINK=80&D=ovft
DOI
10.1097/IAE.0000000000000598
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Hyoung Jun(고형준) ORCID logo https://orcid.org/0000-0002-5932-8516
Kim, Min(김민) ORCID logo https://orcid.org/0000-0003-1873-6959
Kim, Sung Soo(김성수) ORCID logo https://orcid.org/0000-0002-0574-7993
Park, Yong Sik(박용식)
Lee, Dong Hyun(이동현)
Lee, Sung Chul(이성철) ORCID logo https://orcid.org/0000-0001-9438-2385
Export
RIS (EndNote)
XLS (Excel)
XML
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/156853
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse