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Sundaram Natarajan, Jigar Asnani, Kavita Shisode, Samyak Mulkutkar; To report the Clinical outcomes and experience of 27 gauge Pars Plana Vitrectomy (PPV) in eyes with posterior segment disease. Invest. Ophthalmol. Vis. Sci. 2016;57(12):4461.
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© ARVO (1962-2015); The Authors (2016-present)
Retrospective, interventional case series which is being conducted at Aditya Jyot Eye Hospital, Mumbai, India
Setting: Tertiary care settings.Records sheets of 21 patients who underwent 27G PPV were retrospectively analyzed. These included patients with posterior segment pathologies except those having Endophthalmitis and complicated retinal detachments. The clinical outcomes were assessed at 6 weeks 3 months and 6 months post surgery.
Twenty one met the inclusion criteria. Surgical indications included Epiretinal membrane (n =3), Full-Thickness Macular Hole (n = 5), Rhegmatogenous Retinal Detachment with (n =6) Vitreous Hemorrhage (n = 4), VMT (n=1), BRVO (n=1), Pre Retinal Hemorrhage n=1). Mean log MAR BCVA preoperative was 1.04, Mean log MAR BCVA postoperatively at 1.5 months was 0.66. Follow-up period was in a range of 45-254 days. There were no intra-operative complications and no case required conversion to 20, 23, or 25 gauge instrumentation. Post op complications included re-Retinal detachment (n=2), Persistent MH (n=2). No cases of postoperative Endophthalmitis, Sclerotomy-related retinal tears, Hypotony or choroidal detachments were encountered in the follow-up period. As in no patients was Hypotony present, none required suturing of ports and no peritomy was required.
The 27 gauge PPV was well tolerated with low rates of intra-operative and postoperative complications across varied surgical indications.nd no peritomy was required.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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