Iatrogenic retinal breaks during vitrectomy: retrospective study
To establish the incidence and characteristics of iatrogenic retinal breaks occurring during vitrectomy and to propose a protocol for their management. Retrospective study of 195 consecutive vitrectomies performed in 2001. Minimum follow up was 3 months for all cases. 13 patients with iatrogenic ret...
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| Veröffentlicht in: | Archivos de la Sociedad Española de Oftalmología 2003-09, Vol.78 (9), p.487-491 |
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| container_title | Archivos de la Sociedad Española de Oftalmología |
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| creator | Rola, A Baílez Fidalgo, C Pastor Jimeno, J C Coco Martín, R M Rodríguez De La Rúa Franch, E De La Fuente Salinero, M A |
| description | To establish the incidence and characteristics of iatrogenic retinal breaks occurring during vitrectomy and to propose a protocol for their management.
Retrospective study of 195 consecutive vitrectomies performed in 2001. Minimum follow up was 3 months for all cases.
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.
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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Retrospective study of 195 consecutive vitrectomies performed in 2001. Minimum follow up was 3 months for all cases.
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.
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Retrospective study of 195 consecutive vitrectomies performed in 2001. Minimum follow up was 3 months for all cases.
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.
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.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Incidence</subject><subject>Intraoperative Complications - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retina - injuries</subject><subject>Retrospective Studies</subject><subject>Rupture - etiology</subject><subject>Vitrectomy</subject><issn>0365-6691</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j8tqwzAURLVoadK0v1C86s5wZb3srlpCH4FAN9kbyboKav2qJAf893VpshoGzhmYK7IGJkUuZUVX5DbGLwDOWFXekBXlgirFxJo873QKwxF732QBk-91m5mA-jtmdgq-P2YnnwI2aejmpz8iDHFcqj9hFtNk5zty7XQb8f6cG3J4ez1sP_L95_tu-7LPR8FF3nAoSsY11U6Acagrw6CshLSCFg6U0-AsNMyKirJCUQRTFlDC4kpkYNiGPP7PjmH4mTCmuvOxwbbVPQ5TrJVQBedSLeDDGZxMh7Yeg-90mOvLZfYLxfFReQ</recordid><startdate>200309</startdate><enddate>200309</enddate><creator>Rola, A</creator><creator>Baílez Fidalgo, C</creator><creator>Pastor Jimeno, J C</creator><creator>Coco Martín, R M</creator><creator>Rodríguez De La Rúa Franch, E</creator><creator>De La Fuente Salinero, M A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200309</creationdate><title>Iatrogenic retinal breaks during vitrectomy: retrospective study</title><author>Rola, A ; Baílez Fidalgo, C ; Pastor Jimeno, J C ; Coco Martín, R M ; Rodríguez De La Rúa Franch, E ; De La Fuente Salinero, M A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p545-c402834a1af50bfea9b308956d512f07fa0fd0c3d5913271e0b820805456e30b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Incidence</topic><topic>Intraoperative Complications - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retina - injuries</topic><topic>Retrospective Studies</topic><topic>Rupture - etiology</topic><topic>Vitrectomy</topic><toplevel>online_resources</toplevel><creatorcontrib>Rola, A</creatorcontrib><creatorcontrib>Baílez Fidalgo, C</creatorcontrib><creatorcontrib>Pastor Jimeno, J C</creatorcontrib><creatorcontrib>Coco Martín, R M</creatorcontrib><creatorcontrib>Rodríguez De La Rúa Franch, E</creatorcontrib><creatorcontrib>De La Fuente Salinero, M A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Archivos de la Sociedad Española de Oftalmología</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rola, A</au><au>Baílez Fidalgo, C</au><au>Pastor Jimeno, J C</au><au>Coco Martín, R M</au><au>Rodríguez De La Rúa Franch, E</au><au>De La Fuente Salinero, M A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Iatrogenic retinal breaks during vitrectomy: retrospective study</atitle><jtitle>Archivos de la Sociedad Española de Oftalmología</jtitle><addtitle>Arch Soc Esp Oftalmol</addtitle><date>2003-09</date><risdate>2003</risdate><volume>78</volume><issue>9</issue><spage>487</spage><epage>491</epage><pages>487-491</pages><issn>0365-6691</issn><abstract>To establish the incidence and characteristics of iatrogenic retinal breaks occurring during vitrectomy and to propose a protocol for their management.
Retrospective study of 195 consecutive vitrectomies performed in 2001. Minimum follow up was 3 months for all cases.
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.
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.</abstract><cop>Spain</cop><pmid>14517735</pmid><tpages>5</tpages></addata></record> |
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| ispartof | Archivos de la Sociedad Española de Oftalmología, 2003-09, Vol.78 (9), p.487-491 |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Adult Aged Aged, 80 and over Female Follow-Up Studies Humans Incidence Intraoperative Complications - epidemiology Male Middle Aged Retina - injuries Retrospective Studies Rupture - etiology Vitrectomy |
| title | Iatrogenic retinal breaks during vitrectomy: retrospective study |
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