Intra- and post-operative risk of retinal breaks during vitrectomy for macular hole and vitreomacular traction.
<h4>Background/objective</h4>To evaluate the development of intra- and post-operative retinal breaks after pars plana vitrectomy (PPV) for macular hole (MH) and/or vitreomacular traction (VMT).<h4>Subjects/methods</h4>Medical records of patients who underwent PPV at Kellogg E...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0272333 |
| _version_ | 1817999717786714112 |
|---|---|
| author | Neil K Jairath Yannis M Paulus Angela Yim Yunshu Zhou Bela J Parekh Ruple Jairath David C Musch Julie M Rosenthal |
| author_facet | Neil K Jairath Yannis M Paulus Angela Yim Yunshu Zhou Bela J Parekh Ruple Jairath David C Musch Julie M Rosenthal |
| author_sort | Neil K Jairath |
| collection | DOAJ |
| description | <h4>Background/objective</h4>To evaluate the development of intra- and post-operative retinal breaks after pars plana vitrectomy (PPV) for macular hole (MH) and/or vitreomacular traction (VMT).<h4>Subjects/methods</h4>Medical records of patients who underwent PPV at Kellogg Eye Center between 1/1/2005-6/30/2018, were evaluated in three groups: group 1, MH/VMT (n = 136); group 2, epiretinal membrane (ERM) without VMT (n = 270); and group 3, diagnostic vitrectomy (DV) or vitreous opacities (n = 35). Statistical analyses were conducted using SAS.<h4>Results</h4>20.6% of patients with MH/VMT, 8.5% of patients with ERM, and 5.7% of patients with DV or vitreous opacities had either intra-operative or post-operative breaks. Indication of MH/VMT versus ERM was a significant predictor for this outcome (p = .0112). The incidence of retinal breaks was higher in operations using 23-gauge versus 25-gauge PPV (25.0% vs. 7.4%, p < .0001).<h4>Conclusions</h4>The presence of MH and/or VMT is a significant risk factor for retinal breaks from PPV, as is use of 23-gauge vitrectomy. |
| first_indexed | 2024-04-14T03:12:47Z |
| format | Article |
| id | doaj.art-aae84ae1ee524d9088adf01f8362ab87 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-14T03:12:47Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-aae84ae1ee524d9088adf01f8362ab872022-12-22T02:15:34ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178e027233310.1371/journal.pone.0272333Intra- and post-operative risk of retinal breaks during vitrectomy for macular hole and vitreomacular traction.Neil K JairathYannis M PaulusAngela YimYunshu ZhouBela J ParekhRuple JairathDavid C MuschJulie M Rosenthal<h4>Background/objective</h4>To evaluate the development of intra- and post-operative retinal breaks after pars plana vitrectomy (PPV) for macular hole (MH) and/or vitreomacular traction (VMT).<h4>Subjects/methods</h4>Medical records of patients who underwent PPV at Kellogg Eye Center between 1/1/2005-6/30/2018, were evaluated in three groups: group 1, MH/VMT (n = 136); group 2, epiretinal membrane (ERM) without VMT (n = 270); and group 3, diagnostic vitrectomy (DV) or vitreous opacities (n = 35). Statistical analyses were conducted using SAS.<h4>Results</h4>20.6% of patients with MH/VMT, 8.5% of patients with ERM, and 5.7% of patients with DV or vitreous opacities had either intra-operative or post-operative breaks. Indication of MH/VMT versus ERM was a significant predictor for this outcome (p = .0112). The incidence of retinal breaks was higher in operations using 23-gauge versus 25-gauge PPV (25.0% vs. 7.4%, p < .0001).<h4>Conclusions</h4>The presence of MH and/or VMT is a significant risk factor for retinal breaks from PPV, as is use of 23-gauge vitrectomy.https://doi.org/10.1371/journal.pone.0272333 |
| spellingShingle | Neil K Jairath Yannis M Paulus Angela Yim Yunshu Zhou Bela J Parekh Ruple Jairath David C Musch Julie M Rosenthal Intra- and post-operative risk of retinal breaks during vitrectomy for macular hole and vitreomacular traction. PLoS ONE |
| title | Intra- and post-operative risk of retinal breaks during vitrectomy for macular hole and vitreomacular traction. |
| title_full | Intra- and post-operative risk of retinal breaks during vitrectomy for macular hole and vitreomacular traction. |
| title_fullStr | Intra- and post-operative risk of retinal breaks during vitrectomy for macular hole and vitreomacular traction. |
| title_full_unstemmed | Intra- and post-operative risk of retinal breaks during vitrectomy for macular hole and vitreomacular traction. |
| title_short | Intra- and post-operative risk of retinal breaks during vitrectomy for macular hole and vitreomacular traction. |
| title_sort | intra and post operative risk of retinal breaks during vitrectomy for macular hole and vitreomacular traction |
| url | https://doi.org/10.1371/journal.pone.0272333 |
| work_keys_str_mv | AT neilkjairath intraandpostoperativeriskofretinalbreaksduringvitrectomyformacularholeandvitreomaculartraction AT yannismpaulus intraandpostoperativeriskofretinalbreaksduringvitrectomyformacularholeandvitreomaculartraction AT angelayim intraandpostoperativeriskofretinalbreaksduringvitrectomyformacularholeandvitreomaculartraction AT yunshuzhou intraandpostoperativeriskofretinalbreaksduringvitrectomyformacularholeandvitreomaculartraction AT belajparekh intraandpostoperativeriskofretinalbreaksduringvitrectomyformacularholeandvitreomaculartraction AT ruplejairath intraandpostoperativeriskofretinalbreaksduringvitrectomyformacularholeandvitreomaculartraction AT davidcmusch intraandpostoperativeriskofretinalbreaksduringvitrectomyformacularholeandvitreomaculartraction AT juliemrosenthal intraandpostoperativeriskofretinalbreaksduringvitrectomyformacularholeandvitreomaculartraction |