April 2014
Volume 55, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2014
Long Term Outcomes of 20G versus 23G Pars Plana Vitrectomy in the Treatment of Traumatic Macular Hole
Author Affiliations & Notes
  • Khalid Al Rubaie
    Ophthalmology, KKESH, Riadh, Saudi Arabia
  • Nicola G Ghazi
    Ophthalmology, KKESH, Riadh, Saudi Arabia
    Ophthalmology, University of Virginia, Charlottesville, VA
  • Fernando J Arevalo
    Ophthalmology, KKESH, Riadh, Saudi Arabia
    Ophthalmology, Wilmer Eye Institute, Baltimore, MD
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 321. doi:
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    • Get Citation

      Khalid Al Rubaie, Nicola G Ghazi, Fernando J Arevalo; Long Term Outcomes of 20G versus 23G Pars Plana Vitrectomy in the Treatment of Traumatic Macular Hole. Invest. Ophthalmol. Vis. Sci. 2014;55(13):321.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: To compare the long-term results of 23- and 20-gauge pars plana vitrectomy (PPV) for traumatic macular hole (TMH)

Methods: A retrospective, comparative case series of 29 consecutive eyes of 29 patients with TMH that underwent either 23- or 20-gauge PPV was conducted. The main outcome measure was the anatomical closure rate following surgery.

Results: Among 29 patients, 6 (20.8%) were younger than 16 years. Twenty-five patients (86.2%) were males. Twenty gauge PPV was performed in 16 eyes (55.2%) and 23-gauge PPV was performed in the remaining 13 eyes (44.8%). Dye-assisted internal limiting membrane peeling was performed in all but 3 (10.3%) eyes. Anatomical failure was seen in a total of 11 eyes (37.9%). Among those, 6 eyes (54.4%) were in the 23-gauge PPV group and 5 (45.6%) in the 20-gauge PPV group. The success rate was not statistically significantly different between the two groups. None of the eyes developed retinal breaks or detachment.

Conclusions: Twenty three-gauge PPV has a similar success rate to twenty-gauge PPV in TMH.

Keywords: 586 macular holes • 762 vitreoretinal surgery  
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