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A comparative study of 23-gauge and 27-gauge vitrectomy for puckers or floaters, including evaluation of the effect of combined phaco-vitrectomy surgery on postoperative outcome

Ophthalmologica Feb 14, 2021

Stalmans P, et al. - A single-center, prospective randomized comparison of postoperative recovery between 23-gauge (23G) and 27-gauge (27G) surgical approaches in vitrectomy was conducted to assess efficiencies and postoperative outcomes of the two surgical gauges. Eighty patients who were scheduled to undergo pars plana vitrectomy (PPV) for floaters or macular surgery were treated with either 27-gauge or 23-gauge techniques and evaluated for the efficiency of the procedures as well as a variety of postop indicators of pain and inflammation. Compared with 23-gauge surgery, 27-gauge vitrectomy took 90 seconds more time. Overall, the trial revealed that compared with 23-gauge PPV, 27-gauge has a better postoperative outcome. The study outcome parameters were not affected by the combination of vitrectomy and phaco surgery.

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