Posters

Four-port bimanual 23 gauge vitrectomy for diabetic tractional retinal detachment

Poster Details

First Author: M.Tawfik EGYPT

Co Author(s):                                 

Abstract Details



Purpose:

To evaluate the safety and efficacy of four-port bimanual 23-gauge vitrectomy for patients with tractional retinal detachment (TRD) in severe PDR versus three port

Setting:

Single centre.

Methods:

twenty eyes of 20 patients who underwent primary vitrectomy for severe diabetic TRD. Ten eyes of 10 cases that were treated with four-port 23-gauge vitrectomy were compared with 10 eyes of 10 cases that were treated with three-port 23-gauge pars plana vitrectomy (PPV). Main outcome measures were best-corrected visual acuity (BCVA), retinal status, intraocular pressure, and incidence of intraoperative and postoperative complications with at least 6 months of follow-up.

Results:

The primary and ultimate anatomic success rates (94.4% versus 93.3%, and 100% in both groups, respectively) and the mean BCVA changes did not differ significantly between groups. The whole surgical time and the membrane removal time were significantly (p < 0.001, respectively) shorter in the four-port 23-gauge group than in the three-port 23-gauge group. There was no difference in the incidence of intraoperative and postoperative complications in both groups.

Conclusions:

Three-port bimanual 23-gauge vitrectomy offers comparable anatomic success and shortens the surgical time compared with four-port 23-gauge PPV in patients with TRD resulting from severe PDR.

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