Hannan Abdul, Shaheen Fiza, Saad Muhammad
Ophthalmology, Al-Shifa Trust Eye Hospital, Rawalpindi, PAK.
Ophthalmology, Shifa International Hospital Islamabad, Islamabad, PAK.
Cureus. 2024 Nov 4;16(11):e72991. doi: 10.7759/cureus.72991. eCollection 2024 Nov.
Background This study aimed to evaluate the safety, efficacy, and complications of 23-gauge (23-G) pars plana vitrectomy (PPV) in the treatment of various vitreoretinal diseases. Methodology A retrospective, cross-sectional study was conducted at Al-Shifa Trust Eye Hospital, Rawalpindi. All the eyes undergoing 23-G PPV between June 2020 and May 2023 meeting the inclusion criteria were included. Surgical outcomes and complications were assessed. Results A total of 350 eyes were included in our data. The most common indication was rhegmatogenous retinal detachment (RRD) (n = 144, 41.1%), followed by diabetic tractional retinal detachment (TRD) (n = 98, 21%). Satisfactory anatomical outcomes were achieved in all the indications. The primary success rate was 87.5% for RRD and 96.9% for TRD. The overall complication rate was 17.7%, with postoperative cataracts being the most frequent. Conclusions The 23-G PPV technique has proven to be a safe and effective approach for the surgical management of various vitreoretinal diseases, demonstrating favorable anatomical outcomes and a low rate of complications.
背景 本研究旨在评估23G经睫状体平坦部玻璃体切除术（PPV）治疗各种玻璃体视网膜疾病的安全性、有效性和并发症。方法 在拉瓦尔品第的阿尔-希法信托眼科医院进行了一项回顾性横断面研究。纳入2020年6月至2023年5月期间接受符合纳入标准的23G PPV的所有眼睛。评估手术结果和并发症。结果 我们的数据共纳入350只眼睛。最常见的适应证是孔源性视网膜脱离（RRD）（n = 144，41.1%），其次是糖尿病性牵拉性视网膜脱离（TRD）（n = 98，21%）。所有适应证均取得了满意的解剖学结果。RRD的主要成功率为87.5%，TRD为96.9%。总体并发症发生率为17.7%，术后白内障最为常见。结论 23G PPV技术已被证明是一种安全有效的手术方法，可用于各种玻璃体视网膜疾病的手术治疗，显示出良好的解剖学结果和低并发症发生率。
