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

DC Field Value Language
dc.contributor.author고형준-
dc.contributor.author김민-
dc.contributor.author김성수-
dc.contributor.author박용식-
dc.contributor.author이동현-
dc.contributor.author이성철-
dc.date.accessioned2018-03-26T16:49:24Z-
dc.date.available2018-03-26T16:49:24Z-
dc.date.issued2015-
dc.identifier.issn0275-004X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/156853-
dc.description.abstractPURPOSE: 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.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherLippincott Williams & Wilkins-
dc.relation.isPartOfRETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAged-
dc.subject.MESHEpiretinal Membrane/physiopathology-
dc.subject.MESHEpiretinal Membrane/surgery*-
dc.subject.MESHFemale-
dc.subject.MESHHumans-
dc.subject.MESHIntraocular Pressure/physiology-
dc.subject.MESHIntraoperative Complications-
dc.subject.MESHMale-
dc.subject.MESHMicrosurgery/methods*-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPostoperative Complications-
dc.subject.MESHPseudophakia/complications*-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHVisual Acuity/physiology-
dc.subject.MESHVitrectomy/methods*-
dc.titleCOMPARISON OF SURGICAL OUTCOME OF 23-GAUGE AND 25-GAUGE MICROINCISION VITRECTOMY SURGERY FOR MANAGEMENT OF IDIOPATHIC EPIRETINAL MEMBRANE IN PSEUDOPHAKIC EYES-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Ophthalmology-
dc.contributor.googleauthorMIN KIM-
dc.contributor.googleauthorYONG SIK PARK-
dc.contributor.googleauthorDONG HYUN LEE-
dc.contributor.googleauthorHYOUNG JUN KOH-
dc.contributor.googleauthorSUNG CHUL LEE-
dc.contributor.googleauthorSUNG SOO KIM-
dc.identifier.doi10.1097/IAE.0000000000000598-
dc.contributor.localIdA00152-
dc.contributor.localIdA00455-
dc.contributor.localIdA00571-
dc.contributor.localIdA04747-
dc.contributor.localIdA04779-
dc.contributor.localIdA02873-
dc.relation.journalcodeJ02621-
dc.identifier.eissn1539-2864-
dc.identifier.pmid25978731-
dc.identifier.urlhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00006982-201510000-00025&LSLINK=80&D=ovft-
dc.contributor.alternativeNameKoh, Hyoung Jun-
dc.contributor.alternativeNameKim, Min-
dc.contributor.alternativeNameKim, Sung Soo-
dc.contributor.alternativeNamePark, Yong Sik-
dc.contributor.alternativeNameLee, Dong Hyun-
dc.contributor.alternativeNameLee, Sung Chul-
dc.contributor.affiliatedAuthorKoh, Hyoung Jun-
dc.contributor.affiliatedAuthorKim, Min-
dc.contributor.affiliatedAuthorKim, Sung Soo-
dc.contributor.affiliatedAuthorPark, Yong Sik-
dc.contributor.affiliatedAuthorLee, Dong Hyun-
dc.contributor.affiliatedAuthorLee, Sung Chul-
dc.citation.volume35-
dc.citation.number10-
dc.citation.startPage2115-
dc.citation.endPage2120-
dc.identifier.bibliographicCitationRETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, Vol.35(10) : 2115-2120, 2015-
dc.identifier.rimsid39981-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers

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