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Corresponding Author

Moneer Makram Mohamed Abo Shahin

Document Type

Original Article

Abstract

Background: The most serious type of diabetic eye disease, proliferative diabetic retinopathy, affects about 1.4% of all diabetics around the world.

Aim: To find out how well 27-G and 23-G probes work in diabetic vitrectomy surgery by looking at their effectiveness, operating time, the need for sutures, inflammation after surgery, control of intraocular pressure, and problems during and after surgery.

Patients and methods: Thirty diabetics who had been confirmed with diabetic retinopathy were the subjects of a prospective comparative interventional study. There were two separate groups of thirty people with diabetes: Within Group (1), fifteen patients were given a 23-gauge needle & within Group (2), fifteen patients were given a 27-gauge needle. Patients wanting a Vitrectomy went to the Ophthalmology Department, Faculty of Medicine, Al-Azhar University Hospitals from March 2022 to March 2023.

Results: When the two groups were compared in terms of operation time, there was no significant difference within either Group (p >0.05). As a result, Group (1) had a quicker core vitrectomy than Group (2). This is a substantial distinction among (p = 0.027). Comparing the two groups' postoperative problems didn't show much difference & the difference wasn't statistically significant (p >0.05). There are fewer bleeding and/or irritations after 27-gauge instrumentation because its width is smaller. This means that fewer sutures are needed during sclerotomies. Unfortunately, the instruments' fineness may also make the treatment & surgery take longer, which may lead to more inflammation.

Conclusion : This study indicate that 27-gauge instrumentation, by virtue of its finer diameter, generates more precise incisions. Consequently, this may result in diminished inflammation and/or hemorrhaging, as well as a decreased need for sutures during sclerotomies.

Keywords

23-gauge tool; Diabetic Vitrectomy; 27-gauge tool; Diabetic retinopathy

Subject Area

Ophthalmology

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