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Iatrogenic retinal breaks during vitrectomy: retrospective study

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

Archivos de la Sociedad Española de Oftalmología, 2003-09, Vol.78 (9), p.487-491

Spain

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  • Título:
    Iatrogenic retinal breaks during vitrectomy: retrospective study
  • Autor: 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
  • Assuntos: 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
  • É parte de: Archivos de la Sociedad Española de Oftalmología, 2003-09, Vol.78 (9), p.487-491
  • Notas: ObjectType-Article-2
    SourceType-Scholarly Journals-1
    ObjectType-Feature-1
    content type line 23
  • Descrição: 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.
  • Editor: Spain
  • Idioma: Espanhol

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