Risk factors for retinal breaks during macular hole surgery

Masashi Sakamoto, Izumi Yoshida, Ryuya Hashimoto, Hidetaka Masahara, Takatoshi Maeno Department of Ophthalmology, Toho University Sakura Medical Center, Sakura, Japan Purpose: To identify risk factors for retinal breaks during macular hole (MH) surgery.Patients and methods: This retrospective, obs...

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Autores principales:	Sakamoto M, Yoshida I, Hashimoto R, Masahara H, Maeno T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	macular hole iatrogenic retinal breaks vitrectomy lattice degeneration Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/c05d0b050c114edf9ac5b19617104ed9
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spelling	oai:doaj.org-article:c05d0b050c114edf9ac5b19617104ed92021-12-02T01:28:13ZRisk factors for retinal breaks during macular hole surgery1177-5483https://doaj.org/article/c05d0b050c114edf9ac5b19617104ed92018-10-01T00:00:00Zhttps://www.dovepress.com/risk-factors-for-retinal-breaks-during-macular-hole-surgery-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Masashi Sakamoto, Izumi Yoshida, Ryuya Hashimoto, Hidetaka Masahara, Takatoshi Maeno Department of Ophthalmology, Toho University Sakura Medical Center, Sakura, Japan Purpose: To identify risk factors for retinal breaks during macular hole (MH) surgery.Patients and methods: This retrospective, observational, comparative study included the medical records of 364 consecutive patients (382 eyes) who underwent vitrectomy for MH at Toho University Sakura Medical Center between January 2012 and May 2017. The patients comprised 135 men and 229 women with mean age 67.6±8.0 years. Six eyes with a pre-existing retinal tear treated by laser photocoagulation before MH surgery were excluded. Data on sex, age, presence or absence of lattice degeneration, axial length (measured using an IOL Master®), preoperative refraction, whether or not combined lens extraction/vitrectomy had been performed, whether or not the lens was pseudophakic before vitrectomy, and whether or not a posterior vitreous detachment had been created intraoperatively were collected. The lattice degeneration status was classified as none (0), treated using laser photocoagulation (1), or untreated (2).Results: The only item identified in logistic regression analysis with the backward elimination method to be a significant risk factor for retinal breaks during MH surgery was the presence of lattice degeneration (P<0.001).Conclusion: Ophthalmologists should be aware of the increased risk of retinal breaks during MH surgery in eyes with lattice degeneration. Intraoperative retinal breaks may be less likely to occur in eyes with lattice degeneration treated by photocoagulation preoperatively. Keywords: macular hole, iatrogenic retinal breaks, vitrectomy, lattice degenerationSakamoto MYoshida IHashimoto RMasahara HMaeno TDove Medical Pressarticlemacular holeiatrogenic retinal breaksvitrectomylattice degenerationOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1981-1985 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	macular hole iatrogenic retinal breaks vitrectomy lattice degeneration Ophthalmology RE1-994
spellingShingle	macular hole iatrogenic retinal breaks vitrectomy lattice degeneration Ophthalmology RE1-994 Sakamoto M Yoshida I Hashimoto R Masahara H Maeno T Risk factors for retinal breaks during macular hole surgery
description	Masashi Sakamoto, Izumi Yoshida, Ryuya Hashimoto, Hidetaka Masahara, Takatoshi Maeno Department of Ophthalmology, Toho University Sakura Medical Center, Sakura, Japan Purpose: To identify risk factors for retinal breaks during macular hole (MH) surgery.Patients and methods: This retrospective, observational, comparative study included the medical records of 364 consecutive patients (382 eyes) who underwent vitrectomy for MH at Toho University Sakura Medical Center between January 2012 and May 2017. The patients comprised 135 men and 229 women with mean age 67.6±8.0 years. Six eyes with a pre-existing retinal tear treated by laser photocoagulation before MH surgery were excluded. Data on sex, age, presence or absence of lattice degeneration, axial length (measured using an IOL Master®), preoperative refraction, whether or not combined lens extraction/vitrectomy had been performed, whether or not the lens was pseudophakic before vitrectomy, and whether or not a posterior vitreous detachment had been created intraoperatively were collected. The lattice degeneration status was classified as none (0), treated using laser photocoagulation (1), or untreated (2).Results: The only item identified in logistic regression analysis with the backward elimination method to be a significant risk factor for retinal breaks during MH surgery was the presence of lattice degeneration (P<0.001).Conclusion: Ophthalmologists should be aware of the increased risk of retinal breaks during MH surgery in eyes with lattice degeneration. Intraoperative retinal breaks may be less likely to occur in eyes with lattice degeneration treated by photocoagulation preoperatively. Keywords: macular hole, iatrogenic retinal breaks, vitrectomy, lattice degeneration
format	article
author	Sakamoto M Yoshida I Hashimoto R Masahara H Maeno T
author_facet	Sakamoto M Yoshida I Hashimoto R Masahara H Maeno T
author_sort	Sakamoto M
title	Risk factors for retinal breaks during macular hole surgery
title_short	Risk factors for retinal breaks during macular hole surgery
title_full	Risk factors for retinal breaks during macular hole surgery
title_fullStr	Risk factors for retinal breaks during macular hole surgery
title_full_unstemmed	Risk factors for retinal breaks during macular hole surgery
title_sort	risk factors for retinal breaks during macular hole surgery
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/c05d0b050c114edf9ac5b19617104ed9
work_keys_str_mv	AT sakamotom riskfactorsforretinalbreaksduringmacularholesurgery AT yoshidai riskfactorsforretinalbreaksduringmacularholesurgery AT hashimotor riskfactorsforretinalbreaksduringmacularholesurgery AT masaharah riskfactorsforretinalbreaksduringmacularholesurgery AT maenot riskfactorsforretinalbreaksduringmacularholesurgery
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Risk factors for retinal breaks during macular hole surgery

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