Twenty-three-gauge pars plana vitrectomy, @entity11655 -68, and 360   endolaser versus combined 20-gauge pars plana vitrectomy, scleral buckle, and SF6 for @entity1713 with XXXX .

@entity1 @entity1713 @entity2286 @entity11655 @entity989
PURPOSE: To compare the anatomical and functional outcomes of 23-gauge pars plana vitrectomy ( @entity2286 ) with @entity11655 -68 tamponade and 360   endolaser versus 20-gauge @entity2286 with encircling scleral buckling (ESB) and an SF6 gas tamponade for the repair of primary @entity1713 with @entity989 . METHODS: Prospective, randomized, comparative, interventional study. Eighty-two eyes of 82 consecutive @entity1 were randomly assigned to 1 of the 2 treatment groups: 23-gauge @entity2286 / @entity11655 -68 (44 eyes, 54%) or 20-gauge @entity2286 /ESB/SF6 (20%) (38 eyes, 46%). The inclusion criterion was the presence of primary @entity1713 with at least 1 retinal break between the 4- and 8-o'clock positions. The study protocol involved a minimum of 7 visits: baseline, day of surgery, 1 week, and 1, 3, 6, and 9 months postoperation. @entity11655 -68 removal was performed within 12 weeks of the initial surgery. Two surgical procedures were required in the @entity11655 group to remove the oil. RESULTS: After the primary procedure, the retina was reattached in 90% (40 of 44) of cases in the 23-gauge @entity2286 / @entity11655 group and in 92% (35 of 38) of cases in the 20-gauge @entity2286 /ESB/SF6 group (P = 0.2, Fisher's exact test). After resolution of redetachments, final anatomical success rate rose to 97% (43 of 44) in the 23-gauge @entity2286 / @entity11655 group and 94% (36 of 38) in the 20-gauge @entity2286 /SB/SF6 group (P = 0.32, Fisher's exact test). Mean final best-corrected visual acuity (logarithm of the minimum angle of resolution) was 0.40 in the 23-gauge @entity2286 / @entity11655 group and 0.48 in the 20-gauge @entity2286 /ESB/SF6 group (P = 0.31, t-test). Operative time was significantly less in the 23-gauge @entity2286 / @entity11655 group (P = 0.002, t-test). No statistically significant difference in the complication rate between the two groups was recorded. CONCLUSION: Twenty-three-gauge @entity2286 combined with @entity11655 -68 and 360   endolaser and 20-gauge @entity2286 combined with ESB/SF6 seemed to have similar efficacy in the repair of primary @entity1713 . Supplementary scleral buckling can be avoided using a @entity11655 -68 tamponade for @entity1713 with @entity989 .
