%0 Journal Article
%T Postoperative Complication Rates in 23
%A Andreas K. Lauer
%A Austin D. Igelman
%A Brock J. Alonzo
%A Christina J. Flaxel
%A Dongseok Choi
%A John A. Johnson
%A John P. Campbell
%A Phoebe Lin
%A Stanford C. Taylor
%A Steven T. Bailey
%A Thomas S. Hwang
%J Journal of VitreoRetinal Diseases
%@ 2474-1272
%D 2018
%R 10.1177/2474126418785824
%X The purpose of this study was to compare rates of clinically significant complications between 23- and 25-gauge pars plana vitrectomy (PPV) in vitreoretinal surgery. Demographics, PPV indication, and surgical complications were reviewed. Patients with prior PPV or other retina surgery; cases requiring silicone oil removal, keratoplasty, or glaucoma valve implant; patients <18 years old; or patients with <4 months of follow-up were excluded. Comparative and descriptive statistics were used to evaluate the data. A total of 579 eyes met inclusion criteria, and their charts were reviewed. Demographics, PPV indication, follow-up time, and lens status were similar (P > .05). A 23-gauge PPV was performed more frequently than a 25-gauge PPV (328 vs 251 eyes, respectively). Although rates of eyes with a clinically significant postoperative complication requiring surgical intervention were higher in 23-gauge PPV (112/325, 34.4%) than in 25-gauge PPV (54/250, 21.6%), PPVs indicated by rhegmatogenous retinal detachment were more common with 23-gauge PPVs (155/325, 47.7%) than with 25-gauge PPVs (37/250, 14.8%; P <.001) and were more likely to have postoperative complications; however, rates of recurrent retinal detachments were not different in the 2 cohorts (P = .862). When controlling for differences in indication, there was a moderately higher rate of postoperative complications following 23-gauge PPV (P = .063). This retrospective review suggests that clinically significant complications are moderately more likely following 23-gauge PPV compared with 25-gauge PPV, even when the differences in surgical indication are considered
%K 23-gauge
%K 25-gauge
%K complications
%K pars plana
%K vitrectomy
%U https://journals.sagepub.com/doi/full/10.1177/2474126418785824