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J. Chang, T. W. Wiegand, C. R. Baumal, A. H. Rogers, E. Reichel, J. S. Duker; Outcomes of 23-Gauge Vitrectomy Surgery for Primary Closure of Macular Holes. Invest. Ophthalmol. Vis. Sci. 2008;49(13):5969.
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© ARVO (1962-2015); The Authors (2016-present)
To describe the initial experience, effectiveness, and safety profile of 23-gauge pars plana vitrectomy for primary closure of macular holes.
A single-center, retrospective, noncomparative, interventional case series was conducted of the initial 13 consecutive patients (14 eyes) who underwent 23-gauge transconjunctival sutureless vitrectomy by 5 surgeons from May 2007 through October 2007.
Anatomic closure rate based on optical coherence tomography was eighty-six percent (12 of 14 eyes). Mean follow-up time was 61 days (range 32 to 104 days) and mean visual acuity improved from 20/214 at baseline to 20/86 (p=0.0328). No patients had postoperative hypotony, 4 patients required an intraoperative sutured sclerotomy, and intraoperative tears were noted and repaired in 2 patients.
Twenty-three gauge vitrectomy is effective for the primary closure of macular holes. The efficacy and safety profile compare favorably with published rates for 20 and 25-gauge vitrectomy.
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