April 2011
Volume 52, Issue 14
Free
ARVO Annual Meeting Abstract  |   April 2011
Rate Of Retinal Detachment And Tear Post 23 Gauge Pars Plana Vitrectomy For Epiretinal Membrane Peel, Macular Hole, Or Vitreomacular Traction
Author Affiliations & Notes
  • Mahta Rasouli
    Department of Ophthalmology, University of Alberta, Edmonton, Alberta, Canada
  • Matthew T. Tennant
    Department of Ophthalmology, University of Alberta, Edmonton, Alberta, Canada
  • Christopher J. Rudnisky
    Department of Ophthalmology, University of Alberta, Edmonton, Alberta, Canada
  • Mark D. Greve
    Department of Ophthalmology, University of Alberta, Edmonton, Alberta, Canada
  • Brad J. Hinz
    Department of Ophthalmology, University of Alberta, Edmonton, Alberta, Canada
  • Chad Baker
    Department of Ophthalmology, University of Alberta, Edmonton, Alberta, Canada
  • Stratton Steed
    Department of Ophthalmology, University of Alberta, Edmonton, Alberta, Canada
  • Rizwan Somani
    Department of Ophthalmology, University of Alberta, Edmonton, Alberta, Canada
  • Footnotes
    Commercial Relationships  Mahta Rasouli, None; Matthew T. Tennant, None; Christopher J. Rudnisky, None; Mark D. Greve, None; Brad J. Hinz, None; Chad Baker, None; Stratton Steed, None; Rizwan Somani, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 6169. doi:
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      Mahta Rasouli, Matthew T. Tennant, Christopher J. Rudnisky, Mark D. Greve, Brad J. Hinz, Chad Baker, Stratton Steed, Rizwan Somani; Rate Of Retinal Detachment And Tear Post 23 Gauge Pars Plana Vitrectomy For Epiretinal Membrane Peel, Macular Hole, Or Vitreomacular Traction. Invest. Ophthalmol. Vis. Sci. 2011;52(14):6169.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : The purpose of this study was to evaluate the incidence of retinal tear (RT) or detachment (RD) within 1 year, following 23-gauge pars plana vitrectomy (PPV) without concomitant retinal laser for epiretinal membrane (ERM), macular hole (MH), or vitreomacular traction (VMT).

Methods: : A retrospective chart review of all patients who underwent 23 gauge PPV for ERM, MH, or VMT without concomitant retinal laser was performed. Inclusion criteria included: age more than 50 and absence of other significant ocular pathology (previous cataract surgery, and less than severe diabetic retinopathy was included). Exclusion criteria included: confounding retinal pathology, prior laser treatment of the retina, and previous 20 gauge PPV. Charts were reviewed for the following information: Patient age, gender, eye of involvement, surgical dates, surgery procedure, presence of post-surgical retinal tear or retinal detachment, and date of such event.

Results: : A total of 281 eyes of 278 patients were eligible to be included in our study. One hundred sixty eight (60%) had the diagnosis of ERM, 108 (38%) had MH, and 5 (2%) had VMT. The average patient age was 70 years. The male to female ratio was 128 to 153. Fifteen patients needed further operations for persistence of their pathology within one year (5 with ERM, 10 with MH, and none with VMT). The incidence of RT and RD after surgery was 1% (3 in total; 1 with ERM, 2 with MH, and none with VMT). The mean incidence of RD was at 159 days post-operatively (range 19 to 333 days).

Conclusions: : The rate of retinal detachment and retinal tear post 23 gauge vitrectomy is approximately 1%. As the rate is low, prophylactic laser of sclerotomy sites is unnecessary.

Keywords: macular holes • retinal detachment • vitreoretinal surgery 
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