Retinal Break Oberved During Par Plana Vitrectomy Original Reearch Article

Purpoe To quantitate the frequency and feature of retinal break dicovered at the time of vitrectomy and to evaluate the outcome with prophylactic treatment. Deign A conecutive, ingle-urgeon, retropective, obervational cae erie from a two-year period. Method Medical record were reviewed for all patient who underwent primary, tandard, three-port par plana vitrectomy (PPV) between January 1, 2000, and December 31, 2001. Intraoperative finding recorded included the number, location, and categorization of retinal break and their method of management. Potoperative feature recorded included the preence or abence of a retinal detachment (RD). Reult There were 65 retinal break found in 48 (11.6%) of 415 eye and included 30 (7.2%) eye with definite break, nine (2.2%) with upiciou break, and nine (2.2%) with probably preexiting break. Break that were decribed a being large (n = 5) were more commonly aociated with the right-hand clerotomy (P = .041), although other categorie of break were not. After urgery, the overall incidence of RD wa 2.2% (nine of 415 eye). The rate of RD among the 48 eye with retinal break (of any category) wa alo 2.1% (one eye). All RD in thi erie occurred more than three month after initial vitrectomy and, accordingly, were probably unrelated to retinal break that occurred during urgery. Concluion Recognition of retinal break and intraoperative treatment with retinopexy and air–fluid exchange during vitrectomy reduce the potoperative rik of RD to that among eye without oberved intraoperative retinal break.