{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:29:11Z","timestamp":1787761751887,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>To evaluate the outcomes of twenty-seven-gauge (27G) vitrectomy in cases with complex proliferative diabetic retinopathy (PDR).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>This was a retrospective interventional study of eyes that underwent 27G vitrectomy for complex PDR. The demographic profile, history, examination findings, and intraoperative surgical steps (especially use of other instruments such as intravitreal scissors\/forceps) were reviewed. All the eyes were followed up for a minimum of 3 months at 1-week, 1-month, and 3-month interval. Visual acuity, intraocular pressure (IOP), and retinal status were documented at every follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      Nineteen eyes of 17 patients with complex PDR were included in the study. Seven eyes had tractional retinal detachment involving the macula, three had tractional retinal detachment threatening the macula, one had secondary rhegmatogenous retinal detachment, and eight eyes had nonresolving vitreous hemorrhage along with thick fibrovascular proliferation (FVP) at posterior pole. Anatomical attachment was seen in all cases at the end of follow-up with a single surgery. Visual acuity improved from logMAR 2.5 preoperatively to logMAR 1.01 at 3 months (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.0003). None of the cases required use of intravitreal scissors\/forceps for the removal of FVP. Early postoperative vitreous hemorrhage was seen in two eyes. Hypotony was not seen in any eye, while increased IOP was seen in five eyes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>27G vitrectomy is a safe and effective technique in cases with complex diabetic surgery. Due to smaller size cutter, it offers advantages in the dissection of tissue and is associated with lower incidence of early postoperative hemorrhage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ojo.ojo_348_21","type":"journal-article","created":{"date-parts":[[2023,2,21]],"date-time":"2023-02-21T02:50:51Z","timestamp":1676947851000},"page":"18-22","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of twenty-seven-gauge vitrectomy for complex proliferative diabetic retinopathy"],"prefix":"10.4103","volume":"16","author":[{"given":"Saurabh","family":"Verma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Shiny","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shorya Vardhan","family":"Azad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vinod","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240908","first-page":"813","article-title":"Vitrectomy: A pars plana approach","volume":"75","author":"Machemer","year":"1971","journal-title":"Trans Am Acad Ophthalmol Otolaryngol"},{"key":"R2-5-20240908","doi-asserted-by":"crossref","first-page":"1807","DOI":"10.1016\/S0161-6420(02)01179-X","article-title":"A new 25-gauge instrument system for transconjunctival sutureless vitrectomy surgery","volume":"109","author":"Fujii","year":"2002","journal-title":"Ophthalmology"},{"key":"R3-5-20240908","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1097\/00006982-200502000-00015","article-title":"Transconjunctival sutureless 23-gauge vitrectomy","volume":"25","author":"Eckardt","year":"2005","journal-title":"Retina"},{"key":"R4-5-20240908","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.ophtha.2009.06.043","article-title":"A 27-gauge instrument system for transconjunctival sutureless microincision vitrectomy surgery","volume":"117","author":"Oshima","year":"2010","journal-title":"Ophthalmology"},{"key":"R5-5-20240908","doi-asserted-by":"crossref","first-page":"1973","DOI":"10.1007\/s10792-018-1030-z","article-title":"Surgical outcomes of 27-gauge and 25-gauge vitrectomy day surgery for proliferative diabetic retinopathy","volume":"39","author":"Naruse","year":"2019","journal-title":"Int Ophthalmol"},{"key":"R6-5-20240908","first-page":"CD008671","article-title":"Combined surgery versus cataract surgery alone for eyes with cataract and glaucoma","volume":"7","author":"Zhang","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"R7-5-20240908","doi-asserted-by":"crossref","first-page":"1505","DOI":"10.1007\/s10792-017-0613-4","article-title":"Surgical outcomes of 27-gauge pars plana vitrectomy with short-term postoperative tamponade of perfluorocarbon liquid for repair of giant retinal tears","volume":"38","author":"Zhang","year":"2018","journal-title":"Int Ophthalmol"},{"key":"R8-5-20240908","doi-asserted-by":"crossref","first-page":"51","DOI":"10.4103\/0974-9233.106387","article-title":"Early vitreous hemorrhage after vitrectomy with preoperative intravitreal bevacizumab for proliferative diabetic retinopathy","volume":"20","author":"Sato","year":"2013","journal-title":"Middle East Afr J Ophthalmol"},{"key":"R9-5-20240908","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1111\/ceo.12752","article-title":"Surgical treatment for diabetic vitreoretinal diseases: A review","volume":"44","author":"Sharma","year":"2016","journal-title":"Clin Exp Ophthalmol"},{"key":"R10-5-20240908","doi-asserted-by":"crossref","first-page":"86","DOI":"10.12669\/pjms.331.11617","article-title":"Outcomes of transconjunctival sutureless 27-gauge micro-incision vitrectomy surgery in diabetic vitreous haemorrhage","volume":"33","author":"Shahzadi","year":"2017","journal-title":"Pak J Med Sci"}],"container-title":["Oman Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ojo.ojo_348_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:05:01Z","timestamp":1787760301000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ojo.ojo_348_21"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/ojo.ojo_348_21","relation":{},"ISSN":["0974-620X"],"issn-type":[{"value":"0974-620X","type":"print"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}