title: Successful outcomes of 25- and 23-gauge vitrectomies for giant retinal tear detachments.
abstract: OBJECTIVE
  The authors examined the feasibility of performing 25- and 23-gauge micro-incision vitrectomy surgery (MIVS) for a giant retinal tear.
  
  
  METHODS
  The medical records of 12 eyes of 11 patients with giant retinal tear who underwent MIVS using perfluorocarbon liquids were reviewed. All patients were observed for at least 6 months postoperatively.
  
  
  RESULTS
  An intraoperative re-attachment was achieved in 12 eyes (100%) and 11 eyes (92%) remained attached without intraocular tamponade. Silicone oil was used in 9 of 12 eyes and removed 2 weeks after the initial vitrectomy except in one eye. The postoperative retinal complications included macular pucker in two eyes, subretinal perfluorocarbon liquid in two eyes, retinal folds in one eye, cystoid macular edema in one eye, and redetachment due to proliferative vitreoretinopathy in one eye.
  
  
  CONCLUSIONS
  Although the study had a short follow-up period, primary MIVS appears to be safe and feasible for giant retinal tear surgery.
authors: Department of Ophthalmology and Visual Science, Tohoku University Graduate School of Medicine, Aoba-ku, Sendai, Japan. kunikata@oph.med.tohoku.ac.jp
authors: Hiroshi
authors: H
authors: Kunikata
authors: Toshiaki
authors: T
authors: Abe
authors: Kohji
authors: K
authors: Nishida
mesh_terms: D000293:Adolescent; D000328:Adult; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000601:surgery*; D012827:Silicone Oils / Q000627:therapeutic use; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*; D055815:Young Adult
chemical_list: D012827:Silicone Oils