Comparative Study of 23 Guage and 25 Guagesutureless Vitrectomy

Introduction: The present study is concerned with difference of 23 - gauge and 25 - gauge vitrectomy for cases like Vitreous haemorrhage, retinal detachment, subluxated cataract or IOL, Macular hole or PDR. There are very few studies comparing difference between 23 - gauge and 25 - gauge vitrectomy. Aims and objectives: To compare thevisual acuity, surgically induced astigmatism, post op hypotony, post op infection, success rate following 23 - Gauge sutureless vitrectomy versus 25 - Gauge sutureless vitrectomy. Materials and methods: Randomised controlled trial comparing 100 pts undergoing 23 g and 25 g pars plana vitrectomy for various indication of Vitreo retinal surgery. Observation and result: There was no significant difference found in surgery induced astigmatism, pre and post operative intraocular tension. Summary and conclusion: In conclusion, the 23 gauge and 25 gauge TSV system are equally feasible, effective, safe, and practical procedure for a variety of vitreoretinal disorders. The TSV allows for completely sutureless closed vitrectomy, obviates the need for conjunctival peritomy and suturing, and decreases surgically induced trauma, operation time, convalescence period, and postoperative inflammatory response. So, this study indicates 23 - gauge and 25 - gauage vitrectomy surgery are equally effective in almost all the type of surgeries.