{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:01:52Z","timestamp":1757700112670},"reference-count":26,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2016,6,8]],"date-time":"2016-06-08T00:00:00Z","timestamp":1465344000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Ophthalmologica"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>To report anatomical and functional outcome of 20\u2010gauge versus 25\u2010gauge primary pars plana vitrectomy for management of complex rhegmatogenous retinal detachment in pseudophakic eyes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective single\u2010centre randomized comparative pilot trial. Fifty patients with retinal detachment (<jats:styled-content style=\"fixed-case\">RD<\/jats:styled-content>) not complicated by proliferative vitreoretinopathy grade B or C, who cannot be treated with a single meridional sponge, were randomized (1:1) from November 2006 to January 2010 to either 20\u2010gauge or 25\u2010gauge vitrectomy as first surgical intervention and followed up over a 12\u2010month period, evaluating change in best\u2010corrected visual acuity, anatomical success and intraocular pressure dysregulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Mean visual acuity improved by 0.88 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 0.67) from 1.22 log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 0.63) to 0.34 log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 0.31) in the 20\u2010gauge group and by 0.53 (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 0.91) from 0.86 log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 0.73) to 0.34 log<jats:styled-content style=\"fixed-case\">MAR<\/jats:styled-content> (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content> 0.46) in the 25\u2010gauge group. Final anatomical success rate was 100% and primary success rate was 69% at 6\u00a0months of follow\u2010up. In the 20\u2010gauge group, the retina was attached after one single procedure in 18 eyes (72%) and in 21 eyes (84%) of the 25\u2010gauge group. Two patients in the 25\u2010gauge group had hypotony at the first postoperative day which normalized within 6\u00a0weeks.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In our series, transconjunctival sutureless 25\u2010gauge and 20\u2010gauge vitrectomy showed comparable results in pseudophakic <jats:styled-content style=\"fixed-case\">RD<\/jats:styled-content> not suitable for single sponge surgery with respect to visual outcome and retinal reattachment. Postoperative hypotony does not seem to be a significant problem of transconjunctival sutureless vitrectomy.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aos.13133","type":"journal-article","created":{"date-parts":[[2016,6,8]],"date-time":"2016-06-08T11:42:46Z","timestamp":1465386166000},"page":"824-828","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Primary vitrectomy for rhegmatogenous retinal detachment in pseudophakic eyes: 20\u2010gauge versus 25\u2010gauge vitrectomy"],"prefix":"10.1111","volume":"94","author":[{"given":"Daniela","family":"S\u00fcsskind","sequence":"first","affiliation":[{"name":"Center for Ophthalmology Eberhard Karls University Tuebingen Tuebingen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irmingard","family":"Neuhann","sequence":"additional","affiliation":[{"name":"Center for Ophthalmology Eberhard Karls University Tuebingen Tuebingen Germany"},{"name":"Private 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