J Korean Ophthalmol Soc > Volume 50(3); 2009 > Article
Journal of the Korean Ophthalmological Society 2009;50(3):353-358.
DOI: https://doi.org/10.3341/jkos.2009.50.3.353    Published online March 15, 2009.
Comparisons of Corneal Topographic Change Between 20-Gauge and 23-Gauge Pars Plana Vitrectomy.
Young Min Park, Ji Eun Lee, Boo Sup Oum
Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea. bsoum@pusan.ac.kr
20게이지와 23게이지 평면부 유리체절제술 후 각막지형도 변화의 비교
박영민ㆍ이지은ㆍ엄부섭
Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea
Abstract
PURPOSE
To compare the changes in corneal topography between 23 gauge (G) pars plana vitrectomy (PPV) and 20 G PPV. METHODS: Forty-three eyes of 42 patients who underwent PPV were divided into 2 groups: 20G PPV (Group I, n=18) and 23 G PPV (Group II, n=25). Both groups were followed up over 3 months postoperatively. ORBSCAN II was performed to compare the corneal topographic change of 20 G PPV and 23 G PPV. RESULTS: In a 5 mm zone, significant postoperative change in the mean corneal surface cylinder was found between the 1st day and the 1st month in Group I, while no significant change was found in Group II. Postoperatively, the increase in the mean corneal surface cylinder in Group I was significantly higher than in Group II between the 1st day and the 1st month. Clinically significant astigmatism, induced by surgery, was found only in Group I one week after the operation. In a 3 mm zone, there was no significant change in the mean corneal surface cylinder in both groups postoperatively. The difference in the mean corneal surface cylinder between the 2 groups at the postoperative periods showed no significant change. Surgically induced astigmatism was significantly higher in Group I than in Group II between the 1st day and the 1st month postoperatively. CONCLUSIONS: PPV with the 23 G system is a sutureless transconjunctival surgery, which appears to be more effective due to insignificant corneal surface and astigmatic changes in the early postoperative period.
Key Words: Corneal topography;Vector analysis;23 G Vitrectomy


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