Incidence of Iatrogenic Peripheral Retinal Breaks in 23-Gauge Vitrectomy for Macular Diseases

Nakano, Tetsuro; Uemura, Akinori; Sakamoto, Taiji

doi:10.1097/iae.0b013e31820f49ea

Cited by 35 publications

(25 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The findings of Nakano T et al (2011) support those of Issa SA et al They reported an incidence of 1.1% in 23 G group versus 8.5% in 20 G group, in cases undergoing vitrectomy for macular diseases. Rizzo S (2010) found no statistical difference in the incidence of RD, 1.7% after sutureless vitrectomy and 1.2% after conventional 20-gauge vitrectomy.…”

Section: Khanduja S Et Al Minimally Invasive Vitrectomy Surgery Insupporting

confidence: 86%

Surgical outcomes of minimally invasive vitrectomy surgery in Eales’ disease

et al. 2013

View full text Add to dashboard Cite

Introduction: The results of surgical outcomes of 20 gauge pars plana vitrectomy in Eales' disease are available in the scientific literature. However, all these studies have been done using the 20 gauge vitrectomy systems and most studies have been conducted in a retrospective manner. Objective: To evaluate the outcomes and safety of 23 gauge vitrectomy in complications of Eales' disease. Materials and methods: Study design: Consecutive interventional case series. Participants: Seventy-six eyes of 72 nonconsecutive patients undergoing 23-gauge vitrectomy for complications of Eales' disease were enrolled. The participants were followed up for a minimum of one year. Intervention: The participants underwent a complete demographic, medical and ophthalmic evaluation. A 23-gauge vitrectomy was performed. Endotamponade was used when necessary. Perioperative and postoperative events were recorded. Primary outcome measures were visual acuity and complications arising due to surgery. Results: Indication for surgery was non-clearing vitreous hemorrhage in 89.4% (68/76) and secondary retinal detachment in 10.6% (8). Visual acuity improved from Log Mar 1.80 ± 0.19 units preoperatively to Log Mar 0.47±0.59. Best-corrected visual acuity equivalent to Snellen 6/9 was achieved in 77. 6% of eyes. . Surgical failure was seen in 6.5% cases. Four cases were lost due to progression to neovascular glaucoma and 1 case was lost to severe residual retinal detachment. Iatrogenic portside retinal breaks occurred in 3.9% (3), post-vitrectomy retinal detachment 2.6% ( 2), hypotony 1.3% (1) and cataract in 38.1% (28) cases. Conclusion: 23-gauge sutureless vitrectomy in patients with Eales' disease is a safe and effective technique with acceptable level of risk and complications.

show abstract

Section: Khanduja S Et Al Minimally Invasive Vitrectomy Surgery Insupporting

confidence: 86%

Surgical outcomes of minimally invasive vitrectomy surgery in Eales’ disease

et al. 2013

View full text Add to dashboard Cite

show abstract

“…Similar to our study, other authors have also found a protective effect of microcannulas, especially when posterior vitreous detachment was induced during surgery [3,4,5,7]. However, in contrast to these other authors, we did not find any influence of the diagnosis on the rate of intraoperative retinal break formation [5,7]. …”

Section: Discussioncontrasting

confidence: 55%

“…The issue of compromised wound integrity due to the lack of sutures possibly leading to complications such as hypotony, endophthalmitis and choroidal hemorrhage has been a matter of discussion [1]. However, one other important difference between the sutureless and the conventional techniques are the microcannula-guided entry sites into the eye [2,3,4,5,6,7]. Even though vitreous incarceration to the microcannulas has been documented, the microcannula system has been proposed to lower the risk of retinal dragging (with formation of iatrogenic retinal defects) during vitrectomy [3,4,5,7].…”

Section: Introductionmentioning

confidence: 99%

Intraoperative Retinal Break Formation in 23-/25-Gauge Vitrectomy versus 20-Gauge Vitrectomy

2012

View full text Add to dashboard Cite

Background: This study was undertaken to examine the possible effect of microcannula-guided entry sites on the rate of intraoperative retinal break formation. Methods: In this historical cohort study, all patients having undergone vitrectomy with epiretinal or internal limiting membrane peeling performed by one surgeon between January 2005 and March 2009 were included. All procedures with microcannula-guided entry sites (23- and 25-gauge vitrectomy) were compared to procedures without the use of microcannulas (20-gauge vitrectomy). Results: A total of 221 eyes with a follow-up of at least 30 days were analyzed. The total incidence of intraoperative retinal break formation was 25.2% (n = 28/111) for the 20-gauge group and 12.7% (n = 14/110) for the 23-/25-gauge group, resulting in an odds ratio of 2.313 (95% confidence interval 1.142–4.685) of an increased rate in the 20-gauge group. Conclusion: This study demonstrates that intraoperative retinal breaks during vitrectomy are reduced in the microcannula-guided techniques compared to 20-gauge vitrectomy. This effect may be attributed to the protection of the vitreous base during surgery. Further prospective studies are warranted.

show abstract

“…10,[22][23][24][25][26][27][28][29][30][31][32] After NVS, Saito et al 5 reported no retinal breaks during the follow-up period. In our study, similar incidence of retinal breaks in two groups suggests that NVS does not negatively affect the retina.…”

Section: Discussionmentioning

confidence: 99%

Transconjunctival Nonvitrectomizing Vitreous Surgery Versus 25-Gauge Vitrectomy in Patients With Epiretinal Membrane

Reibaldi

Longo

Avitabile

et al. 2015

Retina

View full text Add to dashboard Cite

show abstract

Incidence of Iatrogenic Peripheral Retinal Breaks in 23-Gauge Vitrectomy for Macular Diseases

Abstract: The incidence of iatrogenic peripheral retinal breaks during vitrectomy for macular diseases is significantly lower in 23-gauge vitrectomy than in 20-gauge vitrectomy.

Cited by 35 publications

References 28 publications

Surgical outcomes of minimally invasive vitrectomy surgery in Eales’ disease

Surgical outcomes of minimally invasive vitrectomy surgery in Eales’ disease

Intraoperative Retinal Break Formation in 23-/25-Gauge Vitrectomy versus 20-Gauge Vitrectomy

Transconjunctival Nonvitrectomizing Vitreous Surgery Versus 25-Gauge Vitrectomy in Patients With Epiretinal Membrane

Contact Info

Product

Resources

About