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Iatrogenic retinal breaks and postoperative retinal detachments in microincision vitrectomy surgery compared with conventional 20-gauge vitrectomy: a meta-analysis.


ABSTRACT:

Purpose

To assess the incidence of iatrogenic retinal breaks (IRBs) and postoperative retinal detachments (RDs) in microincision vitrectomy surgery (MIVS) compared with 20-gauge (20?G) vitrectomy.

Methods

A comprehensive literature search was performed to find relevant studies and a meta-analysis of the IRBs and postoperative RDs rates after 20?G vitrectomy versus MIVS was conducted.

Results

Thirty-two studies were selected, including 14,373 eyes (6932 eyes in the 20?G group, 7441 eyes in the MIVS group). The meta-analysis demonstrated that the incidence of IRBs was significantly higher in 20?G vitrectomy vs. MIVS (OR?=?2.22, 95% CI, 1.93-2.57, P?ConclusionThis meta-analysis demonstrated that MIVS is associated with a lower risk of IRBs and postoperative RDs compared to 20?G vitrectomy.

SUBMITTER: Chen GH 

PROVIDER: S-EPMC6707291 | biostudies-literature | 2019 May

REPOSITORIES: biostudies-literature

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Iatrogenic retinal breaks and postoperative retinal detachments in microincision vitrectomy surgery compared with conventional 20-gauge vitrectomy: a meta-analysis.

Chen G H GH   Tzekov R R   Jiang F Z FZ   Mao S H SH   Tong Y H YH   Li W S WS  

Eye (London, England) 20181218 5


<h4>Purpose</h4>To assess the incidence of iatrogenic retinal breaks (IRBs) and postoperative retinal detachments (RDs) in microincision vitrectomy surgery (MIVS) compared with 20-gauge (20 G) vitrectomy.<h4>Methods</h4>A comprehensive literature search was performed to find relevant studies and a meta-analysis of the IRBs and postoperative RDs rates after 20 G vitrectomy versus MIVS was conducted.<h4>Results</h4>Thirty-two studies were selected, including 14,373 eyes (6932 eyes in the 20 G grou  ...[more]

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