Nisar Ahmed Siyal, Nargis Ashraf, Sharjeel Sultan, Faraz Ahmed Farooqi.
Rhegmatogenous Retinal Detachment repair with 23-G & 25-G, Trans-conjunctival Pars Plana Vitrectomy (PPV).
Ophthalmol Update Jan ;14(3):12-6.

Objective: The purpose of this study is to compare the 23-G and 25-G surgery technique for repair of primary rhegmatogenous retinal detachment. Methods: Seventy nine eyes of 72 patients were operated for rhegmatogenous retinal detachment with 23-g and 25-g pars plana vitrectomy surgery technique. 70% male and 30% female were reported. Demographic information, postoperative outcomes were recorded and reported. Results: All eyes were operated through primary vitrectomy 23-g (54 eyes) and 25-guage (25 eyes) instruments, endolaser photocoagulation, filled with silicon oil or gas tamponade. 78% postoperative anatomical success was achieved in 23-g and 83% for 25-g surgery system. Mean follow-up was 5 to 18 months. Post op. Visual acuity improved in 61 eyes (77.27%), and stabilized in five eyes (6.32%). There was no statistical difference between the surgery types and final anatomical outcome. Conclusion: Both surgical instrument 23-G and 25-G are effective equally for Primary rhegmatogenous retinal detachment. This transition shortened operative time, reduced complications, and increased patient satisfaction.

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