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Klin Monbl Augenheilkd 2021; 238(05): 580-583
DOI: 10.1055/a-1353-5436
Klinische Studie

Incidence of Retinal Detachment after Macular Surgery

Article in several languages: English | deutsch
Luise Grajewski
1   Klinik für Augenheilkunde, Städtisches Klinikum Dessau, Akademisches Lehrkrankenhaus der Medizinischen Hochschule Brandenburg Theodor Fontane, Dessau, Deutschland
,
Olaf Grajewski
2   Augenarzt, Berlin, Deutschland
,
Jens Carstens
1   Klinik für Augenheilkunde, Städtisches Klinikum Dessau, Akademisches Lehrkrankenhaus der Medizinischen Hochschule Brandenburg Theodor Fontane, Dessau, Deutschland
,
Lothar Krause
1   Klinik für Augenheilkunde, Städtisches Klinikum Dessau, Akademisches Lehrkrankenhaus der Medizinischen Hochschule Brandenburg Theodor Fontane, Dessau, Deutschland
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Abstract

Macular surgery has become an increasingly atraumatic procedure for the eye with the surgical methods that have been further developed in recent years. The most common complications include cystoid macular oedema and retinal detachment, more rarely endophthalmitis. The aim of this retrospective study is to record the number of retinal detachments following elective macular surgery. In this study we included all patients who underwent pars plana vitrectomy (ppV, 20 or 25 gauge) in the years 2009 – 2016. We then identified the patients who were hospitalised again because of retinal detachment. For the affected patients, the rate of retinal detachment, functional outcomes and possible risk factors were recorded. A total of 904 eyes were identified, of which 667 had surgery for epiretinal membrane, 188 for macular hole, and 49 for vitreomacular traction with a 20 or 25 gauge ppV. Of these 904, retinal detachment occurred in 17 (1.88%) cases. The mean time between first ppV and second ppV with retinal detachment was 248 days (3 – 1837 days). Two of the 17 patients had at least one retinal break before or during surgery. The retinal break was located inferior in six cases, superior in four; in four cases PVR retinal detachment and in three cases the foramina were distributed. Mean visual acuity was 0.27 (decimal) before macular surgery and 0.28 at the time of last presentation. Modern vitrectomy techniques reduce the complications in elective macular surgery, but do not replace the surgeonʼs experience.

Key words

retinal detachment - macular surgery - 25 gauge - retina


Publication History

Received: 05 October 2020

Accepted: 25 December 2020

Article published online:
19 February 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
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