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dc.contributor.authorSaleh, Omar A.
dc.contributor.authorAl-Dwairi, Rami A.
dc.contributor.authorMohidat, Hasan
dc.contributor.authorJusufbegovic, Denis
dc.contributor.authorNesmith, Brooke
dc.contributor.authorBarak, Yoreh
dc.contributor.authorMimouni, Michael
dc.contributor.authorSchaal, Shlomit
dc.date2022-08-11T08:09:53.000
dc.date.accessioned2022-08-23T16:47:31Z
dc.date.available2022-08-23T16:47:31Z
dc.date.issued2019-06-18
dc.date.submitted2019-07-23
dc.identifier.citation<p>Int J Ophthalmol. 2019 Jun 18;12(6):996-1000. doi: 10.18240/ijo.2019.06.19. eCollection 2019. <a href="https://doi.org/10.18240/ijo.2019.06.19">Link to article on publisher's site</a></p>
dc.identifier.issn2222-3959 (Linking)
dc.identifier.doi10.18240/ijo.2019.06.19
dc.identifier.pmid31236359
dc.identifier.urihttp://hdl.handle.net/20.500.14038/41094
dc.description.abstractAIM: To study and compare the effect of different surgical settings on the development of iatrogenic retinal tears (IRT) in conventional (20-gauge) and microincisional vitrectomy. METHODS: An international retrospective comparative study of 394 patients who had simple vitrectomy at three tertiary centers. Surgeries were performed by four retina surgeons using different viewing systems. Two groups of eyes were compared: microincisional vitrectomy (327 eyes) and conventional (67 eyes) vitrectomy. An iatrogenic tear was defined as the occurrence of one or more peripheral retinal tears during surgery or at any visit in the first 6wk postoperatively. RESULTS: Mean age was 67+/-12y and 55% were female. Iatrogenic tears occurred in 11/394 (2.8%) of eyes. The rate of tears was similar among different surgeons and viewing systems (P=0.93 and P=0.76, respectively). Surgical indication, preexisting pseudophakia/aphakia, induction of posterior vitreous detachment (PVD) during surgery, and the use triamcinolone acetonide didn't significantly affect the rate of tears (P > 0.1 for all factors). A higher rate of tears was found in the conventional group compared to the microincisional group (respectively, 7.5%, 1.8%, P=0.02). CONCLUSION: The rate of IRT in vitrectomy is not significantly affected by surgical indication, preexisting PVD or pseudophakia, or use of triamcinolone or different viewing systems but is significantly higher in conventional vitrectomy. Microincisional platforms improve the safety of vitrectomy regardless of the viewing system used.
dc.language.isoen_US
dc.relation<p><a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=31236359&dopt=Abstract">Link to Article in PubMed</a></p>
dc.rightsInternational Journal of Ophthalmology is an open access journal under a Creative Commons Attribution (CC BY NC ND) license, per the publisher policy at http://www.ijo.cn/gjyken/ch/first_menu.aspx?parent_id=20120104164955001.
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject20-gauge
dc.subjectiatrogenic
dc.subjectmicroincisional
dc.subjectretinal tear
dc.subjectvitrectomy
dc.subjectEye Diseases
dc.subjectOphthalmology
dc.titleInternational multi-center study of iatrogenic retinal tears in pars plana vitrectomy
dc.typeJournal Article
dc.source.journaltitleInternational journal of ophthalmology
dc.source.volume12
dc.source.issue6
dc.identifier.legacyfulltexthttps://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=4900&amp;context=oapubs&amp;unstamped=1
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/oapubs/3884
dc.identifier.contextkey14981283
refterms.dateFOA2022-08-23T16:47:31Z
html.description.abstract<p>AIM: To study and compare the effect of different surgical settings on the development of iatrogenic retinal tears (IRT) in conventional (20-gauge) and microincisional vitrectomy.</p> <p>METHODS: An international retrospective comparative study of 394 patients who had simple vitrectomy at three tertiary centers. Surgeries were performed by four retina surgeons using different viewing systems. Two groups of eyes were compared: microincisional vitrectomy (327 eyes) and conventional (67 eyes) vitrectomy. An iatrogenic tear was defined as the occurrence of one or more peripheral retinal tears during surgery or at any visit in the first 6wk postoperatively.</p> <p>RESULTS: Mean age was 67+/-12y and 55% were female. Iatrogenic tears occurred in 11/394 (2.8%) of eyes. The rate of tears was similar among different surgeons and viewing systems (P=0.93 and P=0.76, respectively). Surgical indication, preexisting pseudophakia/aphakia, induction of posterior vitreous detachment (PVD) during surgery, and the use triamcinolone acetonide didn't significantly affect the rate of tears (P > 0.1 for all factors). A higher rate of tears was found in the conventional group compared to the microincisional group (respectively, 7.5%, 1.8%, P=0.02).</p> <p>CONCLUSION: The rate of IRT in vitrectomy is not significantly affected by surgical indication, preexisting PVD or pseudophakia, or use of triamcinolone or different viewing systems but is significantly higher in conventional vitrectomy. Microincisional platforms improve the safety of vitrectomy regardless of the viewing system used.</p>
dc.identifier.submissionpathoapubs/3884
dc.contributor.departmentDepartment of Ophthalmology and Visual Sciences
dc.source.pages996-1000


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International Journal of Ophthalmology is an open access journal under a  Creative Commons Attribution (CC BY NC ND) license, per the publisher policy at http://www.ijo.cn/gjyken/ch/first_menu.aspx?parent_id=20120104164955001.
Except where otherwise noted, this item's license is described as International Journal of Ophthalmology is an open access journal under a Creative Commons Attribution (CC BY NC ND) license, per the publisher policy at http://www.ijo.cn/gjyken/ch/first_menu.aspx?parent_id=20120104164955001.