Incidence of retinal detachment after fellow-performed primary pars plana vitrectomy.
Incidence of retinal detachment after fellow-performed primary pars plana vitrectomy.
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DOI：
10.1155/2013/353209
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发表时间：
2013
期刊：
影响因子：
--
通讯作者：
Flaxel CJ
中科院分区：
文献类型：
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作者：
Wilkinson JT;Richards AB;Choi D;Robertson JE Jr;Flaxel CJ
背景。原发性玻璃体部切除术（PPV）通常由玻璃体视网膜医师进行。我们的目的是评估同行PPV术后视网膜断裂和脱离（RD）的发生率。方法。我们回顾了2003年至2006年在某教学机构115例患者的119例标准3口原发性ppv。在所有病例中，主要外科医生都是一位玻璃体视网膜医生。既往RD患者被排除在外。我们回顾了术后视网膜脱离的病例，并对所有患者进行了长达一年的随访。结果。术中视网膜断裂5 / 119眼（4.2%）。1例骨折与巩膜切开术相关，4例与巩膜切开术无关。119只眼术后发生RD 8只（6.7%）。2例rd与巩膜切开术相关，5例与之无关，1例起源不明。结论。玻璃体视网膜研究员原发性PPV后视网膜断裂和RD的发生率较低，与接受过奖学金培训的外科医生相当。
Background. Primary pars plana vitrectomy (PPV) is often performed by vitreoretinal fellows. We aimed to evaluate the incidence of retinal breaks and detachments (RD) after fellow-performed PPV. Methods. We reviewed 119 consecutive cases of standard 3-port primary PPVs on 115 patients at a teaching institution from 2003 to 2006. In all cases, the primary surgeon was a vitreoretinal fellow. Patients with previous RD were excluded. Cases were reviewed for postoperative retinal detachments, and all patients were followed for up to 1 year. Results. Intraoperative retinal breaks occurred in 5 of 119 eyes (4.2%). One break was associated with sclerotomy and 4 were not. Postoperative RD occurred in 8 of 119 eyes (6.7%). Two RDs were sclerotomy related, 5 were not, and 1 was of indeterminate origin. Conclusions. Incidence of retinal breaks and RD following primary PPV by vitreoretinal fellows is low and comparable to that of fellowship-trained surgeons.