Comparison of silicone oil removal using 23 gauge and 20 gauge sclerotomy systems

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dc.authorscopusid6701346723
dc.authorscopusid35740733300
dc.authorscopusid22978185500
dc.authorscopusid36006319600
dc.contributor.authorDo?anay S.
dc.contributor.authorKoç B.
dc.contributor.authorÇankaya C.
dc.contributor.authorDemirel S.
dc.date.accessioned2024-08-04T20:01:00Z
dc.date.available2024-08-04T20:01:00Z
dc.date.issued2011
dc.departmentİnönü Üniversitesien_US
dc.description.abstractPurpose: To compare 23 and 20 Gauge (G) sclerotomy methods for silicone oil removal. Materials and Methods: Patients that had undergone pars plana vitrectomy (PPV) and received silicone oil as intraocular tamponade material because of retinal detachment and the complications of proliferative diabetic retinopathy were divided into two groups: those undergoing removal of silicone oil through 20 G sclerotomy (Group 1; 39 patients) and those undergoing removal of silicone oil through 23 G transconjunctival sclerotomies (Group 2; 34 patients). The groups were evaluated with regard to postoperative changes in BCVA and IOP, and complications that occurred during and after surgery. Results: In the postoperative follow-up, the mean values of BCVA on the first day, at the first week, and at the first, third, and sixth months were LogMAR 1.2±1.0, 1.0±1.0, 0.96±0.9, 0.9±0.85, and 0.86±0.8, respectively, in Group 1, and LogMAR 1.2±1.2, 0.96±1.0, 0.94±0.9, 0.9±0.94, and 0.9±0.94, respectively, in Group 2. In the postoperative follow-up, the mean values of IOP on the first day, at the first week, and at the first, third, and sixth months were 13±1.7, 14±2.6, 14±1.7, 14±1.6, and 15±3.2 mmHg, respectively, in Group 1, and 11±3.5, 12±1.8, 13±1.8, 13±2.0, and 14±2.6 mmHg, respectively, in Group 2. No patients from the Group 1 developed hypotonia on the first day after surgery, whereas hypotonia was determined in 3 patients (8.8%) from Group 2. During the postoperative checkups, re-detachment was found in 4 patients (10.2%) from Group 1, recurring vitreous hemorrhage (VH) was found in 3 patients (7.6%) from Group 1, re-detachment occurred in 2 patients (5.8%) from Group 2, and recurring VH occurred in 2 patients (5.8%) from Group 2. Conclusion: Silicone oil removal using a 23 G transconjunctival sutureless pars plana vitrectomy and the 20 G pars plana vitrectomy system shows similar characteristics. However, the 23 G transconjunctival system provides additional benefits such as the a vantages of a closed system, the conjunctiva is not opened, and the complications due to the sutures are reduced.en_US
dc.identifier.endpage130en_US
dc.identifier.issn1300-1256
dc.identifier.issue2en_US
dc.identifier.scopus2-s2.0-79960993395en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage127en_US
dc.identifier.urihttps://hdl.handle.net/11616/91169
dc.identifier.volume19en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofRetina-Vitreusen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject20 G pars plana vitrectomy systemen_US
dc.subject23 G transconjunctival sutureless pars plana vitrectomyen_US
dc.subjectSilicone oil removalen_US
dc.titleComparison of silicone oil removal using 23 gauge and 20 gauge sclerotomy systemsen_US
dc.title.alternative23 ve 20 Gauge sklerotomi yöntemleri ile silikon ya?i boşaltilmasinin karşilaştirilmasien_US
dc.typeArticleen_US

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