Is gas/air tamponade essential for eyes with small peripheral retinal breaks without detachment during vitrectomy?

Abstract Background To investigate the safety of vitrectomy with laser photocoagulation in eyes with small peripheral retinal breaks without air or gas tamponade. Methods Among patients who underwent vitrectomy for various retinal disorders, those with small peripheral retinal breaks treated by lase...

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Main Authors: Kyung Ho Lee, Yoo-Ri Chung, Suji Yeo, Kihwang Lee
Format: Article
Language:English
Published: BMC 2022-04-01
Series:BMC Ophthalmology
Subjects:
Online Access:https://doi.org/10.1186/s12886-022-02401-2
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author Kyung Ho Lee
Yoo-Ri Chung
Suji Yeo
Kihwang Lee
author_facet Kyung Ho Lee
Yoo-Ri Chung
Suji Yeo
Kihwang Lee
author_sort Kyung Ho Lee
collection DOAJ
description Abstract Background To investigate the safety of vitrectomy with laser photocoagulation in eyes with small peripheral retinal breaks without air or gas tamponade. Methods Among patients who underwent vitrectomy for various retinal disorders, those with small peripheral retinal breaks treated by laser photocoagulation without air or gas tamponade were included in this study. Their medical records were assessed retrospectively, and we investigated the characteristics of small peripheral retinal breaks and the incidence of postoperative retinal detachment (RD). Results Thirty-one eyes of 31 patients who presented with small peripheral retinal breaks requiring endolaser photocoagulation during vitrectomy were included in this analysis. There were two cases of iatrogenic retinal breaks that occurred during vitrectomy, while others were preexisting lesions, including retinal tears, atrophic retinal holes, and retinal holes with lattice degeneration. There were no cases of RD during the follow-up period of at least 6 months. Conclusions Adequate laser treatment without gas or air tamponade may be sufficient during vitrectomy in cases with small peripheral retinal breaks without concurrent RD, along with complete removal of vitreoretinal traction.
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spelling doaj.art-c74826b11a7649cabc3f116c4a0411982022-12-22T01:46:45ZengBMCBMC Ophthalmology1471-24152022-04-012211510.1186/s12886-022-02401-2Is gas/air tamponade essential for eyes with small peripheral retinal breaks without detachment during vitrectomy?Kyung Ho Lee0Yoo-Ri Chung1Suji Yeo2Kihwang Lee3Department of Ophthalmology, Ajou University School of MedicineDepartment of Ophthalmology, Ajou University School of MedicineDepartment of Ophthalmology, Ajou University School of MedicineDepartment of Ophthalmology, Ajou University School of MedicineAbstract Background To investigate the safety of vitrectomy with laser photocoagulation in eyes with small peripheral retinal breaks without air or gas tamponade. Methods Among patients who underwent vitrectomy for various retinal disorders, those with small peripheral retinal breaks treated by laser photocoagulation without air or gas tamponade were included in this study. Their medical records were assessed retrospectively, and we investigated the characteristics of small peripheral retinal breaks and the incidence of postoperative retinal detachment (RD). Results Thirty-one eyes of 31 patients who presented with small peripheral retinal breaks requiring endolaser photocoagulation during vitrectomy were included in this analysis. There were two cases of iatrogenic retinal breaks that occurred during vitrectomy, while others were preexisting lesions, including retinal tears, atrophic retinal holes, and retinal holes with lattice degeneration. There were no cases of RD during the follow-up period of at least 6 months. Conclusions Adequate laser treatment without gas or air tamponade may be sufficient during vitrectomy in cases with small peripheral retinal breaks without concurrent RD, along with complete removal of vitreoretinal traction.https://doi.org/10.1186/s12886-022-02401-2Laser photocoagulationRetinal breakTamponadeVitrectomy
spellingShingle Kyung Ho Lee
Yoo-Ri Chung
Suji Yeo
Kihwang Lee
Is gas/air tamponade essential for eyes with small peripheral retinal breaks without detachment during vitrectomy?
BMC Ophthalmology
Laser photocoagulation
Retinal break
Tamponade
Vitrectomy
title Is gas/air tamponade essential for eyes with small peripheral retinal breaks without detachment during vitrectomy?
title_full Is gas/air tamponade essential for eyes with small peripheral retinal breaks without detachment during vitrectomy?
title_fullStr Is gas/air tamponade essential for eyes with small peripheral retinal breaks without detachment during vitrectomy?
title_full_unstemmed Is gas/air tamponade essential for eyes with small peripheral retinal breaks without detachment during vitrectomy?
title_short Is gas/air tamponade essential for eyes with small peripheral retinal breaks without detachment during vitrectomy?
title_sort is gas air tamponade essential for eyes with small peripheral retinal breaks without detachment during vitrectomy
topic Laser photocoagulation
Retinal break
Tamponade
Vitrectomy
url https://doi.org/10.1186/s12886-022-02401-2
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