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Drainage Retinotomy Confers Risk of Epiretinal Membrane Formation After Vitrectomy for Rhegmatogenous Retinal Detachment Repair.
Ishikawa, Keijiro; Akiyama, Masato; Mori, Kenichiro; Nakama, Takahito; Notomi, Shoji; Nakao, Shintaro; Kohno, Ri-Ichiro; Takeda, Atsunobu; Sonoda, Koh-Hei.
Afiliación
  • Ishikawa K; Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (K.I., K.M., T.N., S.No., S.Na., R.K., A.T., K-H.S.). Electronic address: ishikawa.keijiro.609@m.kyushu-u.ac.jp.
  • Akiyama M; Department of Ocular Pathology and Imaging Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
  • Mori K; Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (K.I., K.M., T.N., S.No., S.Na., R.K., A.T., K-H.S.).
  • Nakama T; Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (K.I., K.M., T.N., S.No., S.Na., R.K., A.T., K-H.S.).
  • Notomi S; Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (K.I., K.M., T.N., S.No., S.Na., R.K., A.T., K-H.S.).
  • Nakao S; Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (K.I., K.M., T.N., S.No., S.Na., R.K., A.T., K-H.S.).
  • Kohno RI; Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (K.I., K.M., T.N., S.No., S.Na., R.K., A.T., K-H.S.).
  • Takeda A; Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (K.I., K.M., T.N., S.No., S.Na., R.K., A.T., K-H.S.).
  • Sonoda KH; Department of Ophthalmology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan (K.I., K.M., T.N., S.No., S.Na., R.K., A.T., K-H.S.).
Am J Ophthalmol ; 234: 20-27, 2022 02.
Article en En | MEDLINE | ID: mdl-34339662
PURPOSE: To describe the factors associated with epiretinal membrane (ERM) formation in eyes treated with pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RRD). DESIGN: Nationwide, multicenter, clinical cohort study based on registry data. METHODS: We reviewed 2239 cases treated with PPV for RRD repair registered in the Japan-Retinal Detachment Registry between February 2016 and March 2017. Associations of 13 baseline characteristics and 8 surgical procedures with ERM formation were evaluated using univariate analysis. We conducted a propensity score-matched analysis for the significantly associated clinical factor(s). The primary outcome measure was ERM formation after 6 months of vitrectomy. RESULTS: ERM had developed in 104 cases (4.6%) by 6 months. We found that drainage retinotomy was significantly associated with ERM after multiple testing correction (odds ratio [OR] 2.22 [95% confidence interval {CI} 1.50-3.31]; P < .001). In the propensity score-matched analysis (n = 492 in each group), we confirmed a significant difference in the incidence of ERM after 6 months of vitrectomy (8.3% and 2.6% in cases with and without drainage retinotomy, respectively; OR 3.35 [95% CI 1.77-6.33]; P < .001). CONCLUSIONS: Eyes treated with PPV combined with drainage retinotomy are more likely to develop ERM postoperatively.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vitrectomía / Desprendimiento de Retina / Membrana Epirretinal Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am J Ophthalmol Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Vitrectomía / Desprendimiento de Retina / Membrana Epirretinal Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am J Ophthalmol Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos