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Intraoperative Retinal Tear Formation and Postoperative Rhegmatogenous Retinal Detachment in Transconjunctival Cannulated Vitrectomy Systems Compared With the Standard 20-Gauge System

Intraoperative Retinal Tear Formation and Postoperative Rhegmatogenous Retinal Detachment in... CLINICAL SCIENCES Intraoperative Retinal Tear Formation and Postoperative Rhegmatogenous Retinal Detachment in Transconjunctival Cannulated Vitrectomy Systems Compared With the Standard 20-Gauge System Douglas J. Covert, MD, MPH; Christopher R. Henry, MD; Sandeep K. Bhatia, MD; Jason Croskrey, BS; Cecilia R. Sanchez, MD; Dennis P. Han, MD Objective: To compare 20-gauge standard pars plana follows: 47 of 204 patients (23.0%) undergoing the stan- vitrectomy (PPV) with transconjunctival cannulated PPV dard 20-gauge procedure developed intraoperative reti- in the development of intraoperative retinal breaks and nal tears compared with 7 of 211 patients (3.3%) under- postoperative rhegmatogenous retinal detachments going the transconjunctival cannulated procedure (risk (RRDs) in a large series of patients undergoing PPV for ratio [RR], 0.12; 95% CI, 0.05-0.26; P.001). Patients macular pucker or macular hole. experiencing intraoperative retinal tears were not at in- creased risk of developing postoperative RRD (RR, 1.4; Methods: This study was conducted at an academic ter- 95% CI, 0.39-5.0; P=.61). Although a trend was pres- tiary care vitreoretinal practice in Milwaukee, Wiscon- ent, transconjunctival cannulated vitrectomy was not sig- sin. Patients undergoing 3-port PPV with standard 20- nificantly protective against the development of postop- gauge instrumentation were compared with patients erative RRD (RR, 0.60; 95% http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Intraoperative Retinal Tear Formation and Postoperative Rhegmatogenous Retinal Detachment in Transconjunctival Cannulated Vitrectomy Systems Compared With the Standard 20-Gauge System

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Publisher
American Medical Association
Copyright
Copyright 2012 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/archopthalmol.2011.1378
pmid
22332210
Publisher site
See Article on Publisher Site

Abstract

CLINICAL SCIENCES Intraoperative Retinal Tear Formation and Postoperative Rhegmatogenous Retinal Detachment in Transconjunctival Cannulated Vitrectomy Systems Compared With the Standard 20-Gauge System Douglas J. Covert, MD, MPH; Christopher R. Henry, MD; Sandeep K. Bhatia, MD; Jason Croskrey, BS; Cecilia R. Sanchez, MD; Dennis P. Han, MD Objective: To compare 20-gauge standard pars plana follows: 47 of 204 patients (23.0%) undergoing the stan- vitrectomy (PPV) with transconjunctival cannulated PPV dard 20-gauge procedure developed intraoperative reti- in the development of intraoperative retinal breaks and nal tears compared with 7 of 211 patients (3.3%) under- postoperative rhegmatogenous retinal detachments going the transconjunctival cannulated procedure (risk (RRDs) in a large series of patients undergoing PPV for ratio [RR], 0.12; 95% CI, 0.05-0.26; P.001). Patients macular pucker or macular hole. experiencing intraoperative retinal tears were not at in- creased risk of developing postoperative RRD (RR, 1.4; Methods: This study was conducted at an academic ter- 95% CI, 0.39-5.0; P=.61). Although a trend was pres- tiary care vitreoretinal practice in Milwaukee, Wiscon- ent, transconjunctival cannulated vitrectomy was not sig- sin. Patients undergoing 3-port PPV with standard 20- nificantly protective against the development of postop- gauge instrumentation were compared with patients erative RRD (RR, 0.60; 95%

Journal

JAMA OphthalmologyAmerican Medical Association

Published: Feb 1, 2012

References