Risk factors for retinal breaks during macular hole surgery

Autor:	Izumi Yoshida, Takatoshi Maeno, Hidetaka Masahara, Ryuya Hashimoto, Masashi Sakamoto
Rok vydání:	2018
Předmět:	medicine.medical_specialty Retinal breaks genetic structures medicine.medical_treatment vitrectomy Vitrectomy Elimination method Posterior vitreous detachment 03 medical and health sciences 0302 clinical medicine Ophthalmology medicine Significant risk Macular hole Original Research business.industry lattice degeneration Clinical Ophthalmology medicine.disease Surgery macular hole Retinal Tear Lattice degeneration iatrogenic retinal breaks 030221 ophthalmology & optometry business 030217 neurology & neurosurgery
Zdroj:	Clinical Ophthalmology (Auckland, N.Z.)
ISSN:	1177-5483
DOI:	10.2147/opth.s181671
Popis:	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
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::ad44af7db98f9538a3c07eaded0b4274 https://doi.org/10.2147/opth.s181671 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.