{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T21:43:41Z","timestamp":1791755021381,"version":"4.3.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2013,5,15]],"date-time":"2013-05-15T00:00:00Z","timestamp":1368576000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["European Journal of Ophthalmology"],"published-print":{"date-parts":[[2014,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To compare the efficacy, outcomes, and complications of 23-G and 25-G microincision vitrectomy surgery (MIVS) in cases of diabetic tractional retinal detachment (TRD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This is a prospective, single-blinded, randomized, comparative study. Fifty eyes of 50 patients with diabetic TRD involving or threatening macula were randomized into 2 groups of 25 each. Group 1 underwent 23-G MIVS and group 2 underwent 25-G MIVS. Patients were followed up at 1 day, 1 week, 1 month, 3 months, 6 months, and 1 year after surgery. The primary outcome measure was anatomic and visual success after surgery. We also compared the 2 alternative MIVS systems and assessed various intraoperative and postoperative parameters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Anatomic achievement was achieved in all eyes and both groups showed a significant improvement in vision after surgery (p = 0.033 and p = 0.004, respectively) and were comparable (p = 0.584). Mean surgical time in 25-G surgery was significantly longer than in 23-G surgery by 4.60 minutes (p&lt;0.001). Postoperative mean astigmatism was comparable in the 2 groups and postoperative hypotony was not encountered in either group. No port-related breaks were seen in either group; however, iatrogenic breaks occurred in 4 eyes in the 23-G group and 5 eyes in the 25-G group (p = 1.000). There was significantly less immediate postoperative pain and foreign body sensation in the 25-G group compared with the 23-G group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both 23-G and 25-G MIVS have comparable visual and anatomic results for diabetic TRD; however, 25-G surgery may be associated with less postoperative pain and discomfort than 23-G surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5301\/ejo.5000305","type":"journal-article","created":{"date-parts":[[2013,7,5]],"date-time":"2013-07-05T06:11:45Z","timestamp":1373004705000},"page":"107-113","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Comparative Evaluation of 23- and 25-Gauge Microincision Vitrectomy Surgery in Management of Diabetic Macular Traction Retinal Detachment"],"prefix":"10.1177","volume":"24","author":[{"given":"Atul","family":"Kumar","sequence":"first","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita","family":"Duraipandi","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Varun","family":"Gogia","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri Vatsa","family":"Sehra","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shikha","family":"Gupta","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neha","family":"Midha","sequence":"additional","affiliation":[{"name":"Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2013,5,15]]},"reference":[{"key":"bibr1-ejo.5000305","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(02)01179-X"},{"key":"bibr2-ejo.5000305","doi-asserted-by":"publisher","DOI":"10.1159\/000093081"},{"key":"bibr3-ejo.5000305","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.125.10.1415"},{"key":"bibr4-ejo.5000305","doi-asserted-by":"publisher","DOI":"10.1097\/00006982-200502000-00015"},{"key":"bibr5-ejo.5000305","doi-asserted-by":"publisher","DOI":"10.1038\/eye.2009.206"},{"key":"bibr6-ejo.5000305","unstructured":"McCafferyM., PaseroC. 0\u201310 Numerical Pain Rating Scale. 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