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Differences between the combination of the 25-gauge vitrectomy with phacoemulsification versus 20-gauge vitrectomy and phacofragmentation
INTRODUCTION: In the present study we determine the differences observed between 25-gauge-vitrectomy combined with phacoemulsification, and the 20-gauge-vitrectomy combined with pars plana phacofragmentation. METHODS: A prospective study of a sample of 987 eyes of 661 patients randomly divided into...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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Dove Medical Press
2009
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2801636/ https://www.ncbi.nlm.nih.gov/pubmed/20054415 |
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author | Romero-Aroca, Pere Almena-Garcia, Matias Baget-Bernaldiz, Marc Fernández-Ballart, Juan Méndez-Marin, Isabel Bautista-Perez, Angel |
author_facet | Romero-Aroca, Pere Almena-Garcia, Matias Baget-Bernaldiz, Marc Fernández-Ballart, Juan Méndez-Marin, Isabel Bautista-Perez, Angel |
author_sort | Romero-Aroca, Pere |
collection | PubMed |
description | INTRODUCTION: In the present study we determine the differences observed between 25-gauge-vitrectomy combined with phacoemulsification, and the 20-gauge-vitrectomy combined with pars plana phacofragmentation. METHODS: A prospective study of a sample of 987 eyes of 661 patients randomly divided into two groups. 25-gauge-vitrectomy plus phacoemulsification included 486 eyes, and 20-gauge-vitrectomy plus phacofragmentation 501 eyes. We evaluated the differences at the time of the surgery, the intra-and postoperative complications, and the variations in intraocular pressure. RESULTS: The final visual outcome was similar in both groups. The most important differences between groups were: surgical time was faster in group 1 than in group 2, (mean time: 35.16 ± 3.49, 44.74 ± 5.30 minutes). Intraoperative complications were more numerous in group 1. In group 1, postoperative low levels of intraocular pressure are present in all patients with 2.77% of patients with hypotension (<8 mmHg), and three choroidal effusion. In group 2, intraocular lens decentration and retinal detachment are more frequent (2.38% and 1.39%, respectively). CONCLUSIONS: In the present study, both techniques have a similar number of complications and have a similar postoperative outcome, and are valid for the management of the pathologies selected. |
format | Text |
id | pubmed-2801636 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-28016362010-01-06 Differences between the combination of the 25-gauge vitrectomy with phacoemulsification versus 20-gauge vitrectomy and phacofragmentation Romero-Aroca, Pere Almena-Garcia, Matias Baget-Bernaldiz, Marc Fernández-Ballart, Juan Méndez-Marin, Isabel Bautista-Perez, Angel Clin Ophthalmol Original Research INTRODUCTION: In the present study we determine the differences observed between 25-gauge-vitrectomy combined with phacoemulsification, and the 20-gauge-vitrectomy combined with pars plana phacofragmentation. METHODS: A prospective study of a sample of 987 eyes of 661 patients randomly divided into two groups. 25-gauge-vitrectomy plus phacoemulsification included 486 eyes, and 20-gauge-vitrectomy plus phacofragmentation 501 eyes. We evaluated the differences at the time of the surgery, the intra-and postoperative complications, and the variations in intraocular pressure. RESULTS: The final visual outcome was similar in both groups. The most important differences between groups were: surgical time was faster in group 1 than in group 2, (mean time: 35.16 ± 3.49, 44.74 ± 5.30 minutes). Intraoperative complications were more numerous in group 1. In group 1, postoperative low levels of intraocular pressure are present in all patients with 2.77% of patients with hypotension (<8 mmHg), and three choroidal effusion. In group 2, intraocular lens decentration and retinal detachment are more frequent (2.38% and 1.39%, respectively). CONCLUSIONS: In the present study, both techniques have a similar number of complications and have a similar postoperative outcome, and are valid for the management of the pathologies selected. Dove Medical Press 2009 2009-12-29 /pmc/articles/PMC2801636/ /pubmed/20054415 Text en © 2009 Romero-Aroca et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. |
spellingShingle | Original Research Romero-Aroca, Pere Almena-Garcia, Matias Baget-Bernaldiz, Marc Fernández-Ballart, Juan Méndez-Marin, Isabel Bautista-Perez, Angel Differences between the combination of the 25-gauge vitrectomy with phacoemulsification versus 20-gauge vitrectomy and phacofragmentation |
title | Differences between the combination of the 25-gauge vitrectomy with phacoemulsification versus 20-gauge vitrectomy and phacofragmentation |
title_full | Differences between the combination of the 25-gauge vitrectomy with phacoemulsification versus 20-gauge vitrectomy and phacofragmentation |
title_fullStr | Differences between the combination of the 25-gauge vitrectomy with phacoemulsification versus 20-gauge vitrectomy and phacofragmentation |
title_full_unstemmed | Differences between the combination of the 25-gauge vitrectomy with phacoemulsification versus 20-gauge vitrectomy and phacofragmentation |
title_short | Differences between the combination of the 25-gauge vitrectomy with phacoemulsification versus 20-gauge vitrectomy and phacofragmentation |
title_sort | differences between the combination of the 25-gauge vitrectomy with phacoemulsification versus 20-gauge vitrectomy and phacofragmentation |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2801636/ https://www.ncbi.nlm.nih.gov/pubmed/20054415 |
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