Evidence map›Paper›PMID 33667273›Full record

Trial reportPloS one2021

Comparison of safety and effectiveness between 23-gauge and 25-gauge vitrectomy surgery in common vitreoretinal diseases.

Aleksandra Sedova, Irene Steiner, Rene Peter Matzenberger, Michael Georgopoulos, Christoph Scholda, Katharina Franziska Kriechbaum, Claudette Abela-Formanek, Georgios Mylonas, Stefan Sacu, Ursula Schmidt-Erfurth and 1 more

Open access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Aleksandra SedovaDepartment of Ophthalmology and Optometry, Medical University Vienna, Vienna, Austria.
Irene SteinerCenter for Medical Statistics, Informatics and Intelligent Systems, Section for Medical Statistics, Medical University Vienna, Vienna, Austria.
Rene Peter MatzenbergerDepartment of Ophthalmology and Optometry, Medical University Vienna, Vienna, Austria.
Michael GeorgopoulosDepartment of Ophthalmology and Optometry, Medical University Vienna, Vienna, Austria.
Christoph ScholdaDepartment of Ophthalmology and Optometry, Medical University Vienna, Vienna, Austria.
Katharina Franziska KriechbaumDepartment of Ophthalmology and Optometry, Medical University Vienna, Vienna, Austria.
Claudette Abela-FormanekDepartment of Ophthalmology and Optometry, Medical University Vienna, Vienna, Austria.
Georgios MylonasDepartment of Ophthalmology and Optometry, Medical University Vienna, Vienna, Austria.
Stefan SacuDepartment of Ophthalmology and Optometry, Medical University Vienna, Vienna, Austria.
Ursula Schmidt-ErfurthDepartment of Ophthalmology and Optometry, Medical University Vienna, Vienna, Austria.
Andreas PollreiszDepartment of Ophthalmology and Optometry, Medical University Vienna, Vienna, Austria.ORCID 0000-0003-3902-239X
Medical University of Vienna · ATStatistics Austria · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess and compare safety and effectiveness between 23-gauge and 25-gauge vitrectomy systems for the treatment of common vitreoretinal diseases in non-vitrectomized eyes.

methodsRetrospective evaluation of patients who underwent pars plana vitrectomy from April 2018 to December 2019 at the Department of Ophthalmology and Optometry at the Medical University of Vienna (MUV) for the following indications: macular epiretinal membrane, macular hole, macular lamellar hole, vitreous hemorrhage, vitreous opacities, vitreomacular traction syndrome and macular edema.

results201 eyes of 195 patients that underwent 23-gauge (n = 105 eyes) or 25-gauge (n = 96 eyes) vitrectomy were included in this study. The mean best-corrected visual acuity (BCVA) improved at 1-3 months postoperatively and beyond 3 months in both gauge groups. Risk of any complication within 1 month postoperatively was lower in the 25-gauge group, but the difference was statistically not significant (HR [95% CI]: 0.95 [0.53; 1.70], p = 0.85). Intraocular pressure less than 5 mmHg was observed in 2 eyes (2%) in the 23-gauge group at the first postoperative day. Intraocular pressure elevation over 25 mmHg occurred in 5 eyes (2 eyes, 2%, in 23-gauge and 3 eyes, 3%, in 25-gauge group) at postoperative day 1, between 7 and 28 days in 5 cases (2 eyes, 2%, in 23-gauge and 3 eyes, 3%, in 25-gauge group), and in 2 eyes (2%) of the 23-gauge group at postoperative day 145 and 61, respectively. Retinal detachment occurred in 1 eye (1%) in the 23-gauge and in 3 eyes (3%) in the 25-gauge group. We did not observe any cases of endophthalmitis.

conclusionResults in terms of safety, surgical success and visual outcomes for the treatment of common vitreoretinal surgery indications seem to be comparable between 23-gauge and 25-gauge vitrectomy systems, indicating that the two gauge systems can be used equally in the clinical routine.

Indexed as

Intraocular PressureAgedAged, 80 and overEye DiseasesFemaleHumansMaleVitrectomy

Identifiers

PMID33667273
PMCPMC7935274
OpenAlexW3134843093

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.