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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...

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Autores principales: Romero-Aroca, Pere, Almena-Garcia, Matias, Baget-Bernaldiz, Marc, Fernández-Ballart, Juan, Méndez-Marin, Isabel, Bautista-Perez, Angel
Formato: Texto
Lenguaje:English
Publicado: Dove Medical Press 2009
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.
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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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