埼玉県さいたま市の眼科宮原眼科医院

院長のご紹介:主な著書・論文 -宮原眼科医院-

日帰り白内障手術、硝子体手術から、眼鏡・コンタクトレンズ相談、遠視、近視、乱視など視力のこと、花粉症などの眼のかゆみ、腫れ痛みなど、目のことなら何でもご相談下さい。

TOP > 院長のご紹介 > 主な著書・論文概要
大宮クリニックは日曜日も開院
医療法人社団明優会
スタッフルーム
アイキャッチバックナンバー
ECP Medical Book
eyecureprofessionalについて
院長のご紹介

主な著書・論文概要紹介

院長による主な著書・論文
宮原眼科医院院長がこれまでに発表してきた著書や論文の内、一部の概要をご紹介。

院長略歴へ
主な著書・論文一覧へ
主な講演・学会発表へ

Comparative study of 27-gauge and 25-gauge vitrectomy performed as day surgery.

Mori R, Naruse S, Shimada H. Comparative study of 27-gauge and 25-gauge vitrectomy performed as day surgery.
Int Ophthalmol. 2018 Aug;38(4):1575-1582. doi: 10.1007/s10792-017-0625-0.

Abstract

PURPOSE:

To compare postoperative outcomes of 27-gauge (G) and 25-G vitrectomy conducted as day surgery.

METHODS:

In total, 200 consecutive eyes that underwent primary vitrectomy (27-G in 100 eyes, 25-G in 100 eyes) were analyzed. 27-G vitrectomy was performed using a cut rate of 7500 cpm and 25-G vitrectomy using a cut rate of 5000 cpm.

RESULTS:

The 27-G and 25-G groups did not differ significantly in underlying diseases and preoperative Early Treatment Diabetic Retinopathy Study (ETDRS) score. The time required for vitrectomy was significantly longer in the 27-G group (35.3 vs. 29.8 min, P = 0.0013). Postoperative hypotony was observed in 0 and 3 patients, and ocular hypertension in 10 and 14 patients in the 27-G and 25-G groups, respectively, showing more stabilized postoperative ocular pressure in the 27-G group. Gain in ETDRS score was significantly better in the 27-G group (12.1 ± 20.2 letters) compared to the 25-G group (10.0 ± 21.3 letters) (P = 0.0323) at 1 month post-vitrectomy, but not significantly different at 3 and 6 months (P = 0.0686 and 0.0543). Rates of postoperative retinal detachment (1 vs. 1%) and vitreous hemorrhage (2 vs. 3%) were not different between two groups.

CONCLUSIONS:

27-G vitrectomy requires longer operative time than 25-G, but using the 27-G system results in earlier visual improvement and stabilized ocular pressure.

院長紹介診療方針ごあいさつ
当院案内受診案内交通案内院長の紹介手術案内白内障手術網膜硝子体手術お知らせ
eyecureprofessionalについて
埼玉県さいたま市北区宮原町3丁目400-1
医療法人社団明優会 宮原眼科医院
TEL : 048-665-0001
→大宮クリニック
copyright©  miyaharaganka all rights reserved 街の目医者さん 宮原眼科医院