[Iatrogenic retinal breaks during vitrectomy: retrospective study]. / Roturas retinianas iatrogénicas en las vitrectomías: estudio retrospectivo.
Arch Soc Esp Oftalmol
; 78(9): 487-91, 2003 Sep.
Article
em Es
| MEDLINE
| ID: mdl-14517735
ABSTRACT
PURPOSE:
To establish the incidence and characteristics of iatrogenic retinal breaks occurring during vitrectomy and to propose a protocol for their management.METHODS:
Retrospective study of 195 consecutive vitrectomies performed in 2001. Minimum follow up was 3 months for all cases.RESULTS:
13 patients with iatrogenic retinal breaks (6.6%) have been detected. In 8 cases the breaks affected the peripheral retina, in 4 cases they were located in the posterior pole and there was one retinal dialysis. In 4 cases there were more than one retinal break. 9 patients (70%) were vitrectomized for diabetic retinal complications. In 12 cases, the breaks were detected during surgery and treated with endolaser and/or cryoretinopexy (3 cases located inferiorly). Nevertheless 7 cases (54%) developed a retinal detachment, 2 of which could be reattached.CONCLUSIONS:
Among iatrogenic retinal breaks produced during vitrectomy, the peripheral ones are slightly more frequent than the breaks in the posterior pole. Iatrogenic breaks occur more frequently in diabetic patients, having a bad prognosis and often developing a retinal detachment despite endolaser or cryoretinopexy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Retina
/
Vitrectomia
/
Complicações Intraoperatórias
Tipo de estudo:
Etiology_studies
/
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Es
Revista:
Arch Soc Esp Oftalmol
Ano de publicação:
2003
Tipo de documento:
Article