25-gauge vitrectomy with gas tamponade for uncomplicated rhegmatogenous retinal detachment: experienced vs. inexperienced surgeons

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F25%3A43928716" target="_blank" >RIV/00064173:_____/25:43928716 - isvavai.cz</a>

Alternative codes found

RIV/00216208:11120/25:43928716

Result on the web

<a href="https://doi.org/10.7717/peerj.19795" target="_blank" >https://doi.org/10.7717/peerj.19795</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.7717/peerj.19795" target="_blank" >10.7717/peerj.19795</a>

Result language

angličtina

Original language name

25-gauge vitrectomy with gas tamponade for uncomplicated rhegmatogenous retinal detachment: experienced vs. inexperienced surgeons

Original language description

BACKGROUND: Rhegmatogenous retinal detachment (RRD) is a vision-threatening condition that requires prompt surgical intervention. With advancements in surgical techniques and equipment, pars plana vitrectomy (PPV) has become increasingly popular for the management of RRD. This, in turn, requires beginner vitreoretinal surgeons to be able to manage RRD early in their training. INTRODUCTION: Comparison of the results and complication rates of a 25-gauge (25 g) PPV with gas tamponade for RRD between experienced and inexperienced surgeons. METHODS: This is a retrospective comparative consecutive case series study of patients with uncomplicated RRD treated with 25 g PPV with gas tamponade. Patients were divided into two groups: in the experienced surgeon group (ESG), the procedure was performed by an experienced vitreoretinal surgeon, in the inexperienced surgeon group (ISG), it was performed by two inexperienced surgeons. Anatomical and functional results and complication rates were compared between the two groups. RESULTS: A total of 216 eyes were included in the study. In the ESG (106 eyes), the single operation success rate was 94.3%, and the final success rate was 100%. In the ISG (110 eyes), the single operation success rate was 93.6%, and the final success rate was 100%. The difference in single surgery success rate between groups was not statistically significant (P = 0.828). The mean postoperative BCVA improvement was 0.348 decimal in the ESG and 0.405 decimal in the ISG (P = 0.234). The difference in complication rates between groups was not significant. CONCLUSIONS: A 25 g PPV with gas tamponade for the treatment of RRD yields excellent anatomical results and improvement in best-corrected visual acuity (BCVA). With good technique and the use of modern vitrectomy machines and instruments, some inexperienced surgeons can achieve a high single-surgery success rate, suggesting a short learning curve. The complication rate is comparable between experienced and inexperienced surgeons.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30207 - Ophthalmology

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2025

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

PeerJ

ISSN

2167-8359

e-ISSN

2167-8359

Volume of the periodical

13

Issue of the periodical within the volume

August

Country of publishing house

GB - UNITED KINGDOM

Number of pages

15

Pages from-to

"e19795"

UT code for WoS article

001569054100001

EID of the result in the Scopus database

2-s2.0-105015055381