Iatrogenic retinal breaks in 25-gauge vitrectomy under air compared with the standard 25-gauge system for macular diseases.
Retina
; 34(8): 1617-22, 2014 Aug.
Article
em En
| MEDLINE
| ID: mdl-24651259
ABSTRACT
PURPOSE:
To evaluate the incidence rates of iatrogenic retinal breaks in eyes that underwent 25-gauge vitrectomy under air compared with 25-gauge standard vitrectomy for idiopathic macular holes or idiopathic epiretinal membranes.METHODS:
In this retrospective, comparative interventional study, 435 eyes were enrolled. In all patients after core vitrectomy and epiretinal/inner limiting membrane peeling, complete vitrectomy of the base was performed, respectively under air (air group) or under fluid infusion (standard group).RESULTS:
The number of eyes with iatrogenic retinal breaks was significantly lower in the air group than in standard group (4/197 and 16/238, 2% and 7%, respectively; P = 0.035). A postoperative retinal detachment developed in 2 eyes (1%) in the standard group, and in no eyes of the air group (0%). Factors related to the occurrence of retinal breaks were surgically induced posterior vitreous detachment (P = 0.006), standard vitrectomy (P = 0.023), and surgery for macular hole (P = 0.030).CONCLUSION:
The 25-gauge vitrectomy under air is associated with a lower incidence rate of retinal breaks compared with the standard 25-gauge vitrectomy.
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Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
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Perfurações Retinianas
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Vitrectomia
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Membrana Epirretiniana
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Ar
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Complicações Intraoperatórias
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article