INCIDENCE OF IATROGENIC PERIPHERAL RETINAL BREAKS IN 23-GAUGE VITRECTOMY FOR MACULAR DISEASES

被引：29
|
作者：
Nakano, Tetsuro [1 ]
Uemura, Akinori [1 ]
Sakamoto, Taiji [2 ]
机构：
[1] Kagoshima City Hosp, Dept Ophthalmol, Kagoshima 8928580, Japan
[2] Kagoshima Univ, Dept Ophthalmol, Grad Sch Med & Dent Sci, Kagoshima 890, Japan
来源：
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 2011年 / 31卷 / 10期
关键词：
epiretinal membrane; iatrogenic retinal break; macular hole; small-incision vitrectomy; vitrectomy; PARS-PLANA VITRECTOMY; TRANSCONJUNCTIVAL SUTURELESS VITRECTOMY; 25-GAUGE VITRECTOMY; POSTOPERATIVE HYPOTONY; AFFER; 25-GAUGE; SURGERY; 20-GAUGE; OUTCOMES; SYSTEM; HOLE;
D O I：
10.1097/IAE.0b013e31820f49ea
中图分类号：
R77 [眼科学];
学科分类号：
100212 ;
摘要：
Purpose: To assess the incidence of iatrogenic peripheral retinal breaks in 23-gauge vitrectomy for macular diseases and to compare it with 20-gauge vitrectomy. Methods: Retrospective, comparative, interventional case series. We compared the incidence of iatrogenic peripheral retinal breaks in 176 eyes undergoing 23-gauge vitrectomy between January 2007 and November 2009 (23-gauge group) and 153 eyes undergoing 20-gauge vitrectomy between January 2004 and June 2006 (20-gauge group) for either idiopathic macular holes or idiopathic epiretinal membranes. All surgeries were performed by one surgeon at a single hospital. Main outcome measure was the incidence rate of iatrogenic peripheral retinal breaks discovered intraoperatively and postoperatively. Results: Iatrogenic peripheral retinal breaks occurred in 1 eye in the 23-gauge group and in 11 eyes in the 20-gauge group during surgery. Additional iatrogenic retinal breaks were found in 1 eye in the 23-gauge group and in 2 eyes in the 20-gauge group within 1 month after surgery. The overall incidence of iatrogenic peripheral retinal breaks was 1.1% (2 of 176) in the 23-gauge group and 8.5% (13 of 153) in the 20-gauge group. The difference was statistically significant (P = 0.0023). Conclusion: The incidence of iatrogenic peripheral retinal breaks during vitrectomy for macular diseases is significantly lower in 23-gauge vitrectomy than in 20-gauge vitrectomy. RETINA 31:1997-2001, 2011
引用
收藏
页码：1997 / 2001
页数：5
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