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Subject Area

Ophthalmology

Article Type

Original Study

Abstract

Objective To compare surgical and clinical outcomes of pediatric retinal detachment repair using 23 G and 25 G vitrectomy. Background The introduction of microincisional vitrectomy surgery induced a paradigm shift in management of vitreoretinal diseases. Vitrectomy in pediatric age group represents a major challenge owing to its unique anatomical and pathological considerations. Patients and methods This was a prospective, comparative case series study. A total of 50 patients were recruited for the study and divided into two groups. The first group included 25 patients who underwent 23-G vitrectomy, and the second group included 25 patients who underwent 25-G vitrectomy. The main outcome measures were the actual vitrectomy time and need to suture a sclerotomy and the early postoperative hypotony rate. Results The actual time for vitreous removal was 22.00 ± 5.71 min in 23-G group compared with 24.13 ± 5.97 min in 25 G group (P = 0.273). A significant difference was noted between both groups regarding suturing at least one sclerotomy at the end of the surgery, with 11 (44%) eyes in 23-G group and only four (16%) eyes in 25-G group; however, no significant difference in early postoperative hypotony rate was observed. The visual and anatomical outcomes were comparable between both groups, with no significant difference. Conclusion Both 23-G and 25-G systems are highly efficient for the treatment of pediatric retinal detachment. However, our research showed that operations performed with the 25-G system were less likely to demand a suture with earlier visual recovery.

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