Comparative outcomes of pars plana vitrectomy in acute postoperative endophthalmitis with 25-gauge and 20-gauge techniques

dc.contributor.authorAltan, Tugrul
dc.contributor.authorKapran, Ziya
dc.contributor.authorEser, Ilker
dc.contributor.authorAcar, Nur
dc.contributor.authorUenver, Yaprak Banu
dc.contributor.authorYurttaser, Serap
dc.date.accessioned2025-01-27T21:01:32Z
dc.date.available2025-01-27T21:01:32Z
dc.date.issued2009
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractTo evaluate the safety and outcomes of 25-gauge pars plana vitrectomy (PPV) in the treatment of postoperative endophthalmitis and compare it with 20-gauge PPV. The medical records of all patients diagnosed with acute endophthalmitis following cataract surgery who underwent PPV between December 2000 and December 2007 were reviewed. Main outcome measures included final visual acuity (VA), additional interventions, and both intraoperative and postoperative complications. Records of 70 eyes of 70 patients with a condition diagnosed as postoperative endophthalmitis were evaluated. Fifty-eight eyes underwent 20-gauge PPV (group 1), and 12 eyes underwent 25-gauge PPV (group 2). Mean follow-up time for group 1 was 9.6 +/- 8.8 months, and for group 2, 7.9 +/- 12.7 months (P = 0.57). Median VA at presentation was hand motion in both groups. The differences between the two groups in frequencies of visual outcome levels of 20/800 and 20/100 were significant in favor of group 2 (20/800, P = 0.006; 20/100, P = 0.01). In group 2, fewer additional interventions were required, and postoperative complications tended to be less frequent. Twenty-five-gauge PPV seems to be safe and effective in the management of postoperative endophthalmitis. This sutureless technique may have some advantages over 20-gauge surgery, but controlled studies are needed to confirm the results.
dc.identifier.doi10.1007/s10384-009-0718-z
dc.identifier.endpage511
dc.identifier.issn0021-5155
dc.identifier.issue5
dc.identifier.pmid19847607
dc.identifier.scopus2-s2.0-77749286321
dc.identifier.scopusqualityQ1
dc.identifier.startpage506
dc.identifier.urihttps://doi.org/10.1007/s10384-009-0718-z
dc.identifier.urihttps://hdl.handle.net/20.500.12428/27086
dc.identifier.volume53
dc.identifier.wosWOS:000271026600013
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer Tokyo
dc.relation.ispartofJapanese Journal of Ophthalmology
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subject20-gauge vitrectomy
dc.subject25-gauge vitrectomy
dc.subjectpostoperative endophthalmitis
dc.subjecttransconjunctival sutureless vitrectomy
dc.titleComparative outcomes of pars plana vitrectomy in acute postoperative endophthalmitis with 25-gauge and 20-gauge techniques
dc.typeArticle

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