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Cet abstract a été assigné à session SBO-BOG Free papers: Chirugische retina en vitreum / Rétine chirugicale et vitré
TitreRetinal detachment following 25-gauge vitrectomy for diseases of the vitreo-macular interface: incidence, characteristics and prognosis.
ButTo evaluate the incidence, characteristics and prognosis of retinal detachment (RD) following 25G vitrectomy ( PPV) for diseases of the vitreo-macular interface and to compare these features with those of RD following 20G PPV for the same indication.
MéthodesIn this retrospective study we reviewed the chart of the patients who underwent 25G PPV with a preoperative diagnosis of vitreo-macular interface syndrome between 01/07/2004 and 15/08/2008 and developed RD postoperatively, provided no other intra-ocular surgery was perfomed in the mean time. The main parameters recorded were the delay between PPV and RD, the diagnosis before 25G PPV, the location of the retinal tears related to the 25G sclerotomy sites, the anatomical and functional success of RD surgery.
Résultats13 eyes out of 483 undergoing 25G PPV for the above indication developed RD, that is an incidence of 2.7%. 5/13 RD occured less than 1 month after PPV. Indication for 25G PPV was an epimacular membrane in 10 cases and an idiopathic macular hole in 3 cases. In 5/13 cases, the tear(s) was located in the quadrant of the sclerotomy related to the dominant hand of the surgeon. Primary and final anatomical success for RD surgery were obtained in 9/13 and 13/13 of the cases, respectively. The results were compared in the pertinent litterature with those of series dealing with RD following 20G and 25G PPV in the same indication.
ConclusionThe incidence and prognosis of RD in our series compare favorably with the data found in other series dealing 20G as well as 25G PPV. A significant number of RD may be related to the sclerotomy sites. 25G PPV for the treatment of diseases of the vitreo-macular interface does not seem to carry a greater risk of postoperative RD than 20G PPV.
Auteur 1
NomDESMARETS
InitialesA
InstitutUCL st Luc
Ville1200 Brussels
Auteur 2
NomGRIBOMONT
InitialesAC
InstitutUCL St Luc
Ville1200 Brussels
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