徳島大学 教育・研究者情報データベース(EDB)

1. (英) Sayed Mohammed Khulood

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2. 内藤 毅

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3. (英) Farouk Mohamed Mahmoud

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4. 長澤 利彦

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5. 香留 崇

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6. (英) El-Latif Mousa Abd Ismail

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7. (英) Abdallah Mostafa Ahmad

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8. (英) Mohamed Ali Usama

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9. 三田村 佳典([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.眼科学])

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(英) Twenty five-gauge sutureless vitrectomy versus 20-gauge vitrectomy in epiretinal membrane surgery.

(英) To compare visual outcomes, intraoperative and postoperative complications of 25-gauge transconjunctival sutureless vitrectomy (25-G TSV) versus conventional 20-gauge vitrectomy in epiretinal membrane (ERM) surgery. A retrospective comparative study was conducted on 200 eyes with idiopathic ERM who underwent either primary 20-gauge vitrectomy (n=95) or 25-G TSV (n=105) with 6 months follow up. The following parameters were collected and compared: age, gender, best corrected visual acuity (BCVA), intraocular pressure (IOP), postoperative anterior chamber inflammation, intraoperative and postoperative complications. Twenty-five gauge group achieved a significantly better vision at the 1(st) postoperative month (p=0.008) and a significantly higher incidence of visual improvement 6 months postoperatively (p=0.04) than 20-gauge group. Intraocular pressure was significantly higher at the 1(st), 3(rd) and 6(th) postoperative months compared with baseline in the 20-G group. However, in the 25-gauge group IOP remained near to the baseline at the same period. Twenty five-gauge group achieved a significantly lower anterior chamber inflammation and a lower incidence of postoperative cystoid macular edema (CME) (p=0.01), hyphema (p=0.000) and after cataract (p=0.000) than 20-gauge group. The 25-gauge sutureless vitrectomy achieves rapid and higher visual improvement, less postoperative inflammation and complications than the 20-gauge vitrectomy in ERM surgery.

1. (英) Aged
2. (英) Epiretinal Membrane
3. (英) Female
4. (英) Follow-Up Studies
5. (英) Humans
6. (英) Intraoperative Complications
7. (英) Male
8. (英) Postoperative Complications
9. (英) Suture Techniques
10. (英) Vitrectomy

1. (英) Article.Affiliation: Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, Sohag, Egypt.

2. (英) Article.PublicationTypeList.PublicationType: Comparative Study

3. (英) Article.PublicationTypeList.PublicationType: Journal Article