Incidence of Retinal Detachment after Macular Surgery

Luise Grajewski; Olaf Grajewski; Jens Carstens; Lothar Krause

doi:10.1055/a-1353-5436

Klinische Monatsblätter für Augenheilkunde, Table of Contents

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

¹Klinik für Augenheilkunde, Städtisches Klinikum Dessau, Akademisches Lehrkrankenhaus der Medizinischen Hochschule Brandenburg Theodor Fontane, Dessau, Deutschland

,

Olaf Grajewski

²Augenarzt, Berlin, Deutschland

,

Jens Carstens

¹Klinik für Augenheilkunde, Städtisches Klinikum Dessau, Akademisches Lehrkrankenhaus der Medizinischen Hochschule Brandenburg Theodor Fontane, Dessau, Deutschland

,

Lothar Krause

¹Klinik für Augenheilkunde, Städtisches Klinikum Dessau, Akademisches Lehrkrankenhaus der Medizinischen Hochschule Brandenburg Theodor Fontane, Dessau, Deutschland

› Author Affiliations

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

Full Text

References

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