Skip Navigation LinksHome > August 2014 - Volume 34 - Issue 8 > IATROGENIC RETINAL BREAKS IN 25-GAUGE VITRECTOMY UNDER AIR C...
Retina:
doi: 10.1097/IAE.0000000000000112
Original Study

IATROGENIC RETINAL BREAKS IN 25-GAUGE VITRECTOMY UNDER AIR COMPARED WITH THE STANDARD 25-GAUGE SYSTEM FOR MACULAR DISEASES

Reibaldi, Michele MD, PhD*; Rizzo, Stanislao MD; Avitabile, Teresio MD*; Longo, Antonio MD, PhD*; Toro, Mario D. MD*; Viti, Francesca MD; Saitta, Andrea MD; Giovannini, Alfonso MD; Mariotti, Cesare MD

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Abstract

Purpose:

To evaluate the incidence rates of iatrogenic retinal breaks in eyes that underwent 25-gauge vitrectomy under air compared with 25-gauge standard vitrectomy for idiopathic macular holes or idiopathic epiretinal membranes.

Methods:

In this retrospective, comparative interventional study, 435 eyes were enrolled. In all patients after core vitrectomy and epiretinal/inner limiting membrane peeling, complete vitrectomy of the base was performed, respectively under air (air group) or under fluid infusion (standard group).

Results:

The number of eyes with iatrogenic retinal breaks was significantly lower in the air group than in standard group (4/197 and 16/238, 2% and 7%, respectively; P = 0.035). A postoperative retinal detachment developed in 2 eyes (1%) in the standard group, and in no eyes of the air group (0%). Factors related to the occurrence of retinal breaks were surgically induced posterior vitreous detachment (P = 0.006), standard vitrectomy (P = 0.023), and surgery for macular hole (P = 0.030).

Conclusion:

The 25-gauge vitrectomy under air is associated with a lower incidence rate of retinal breaks compared with the standard 25-gauge vitrectomy.

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