Factors Related to Intraoperative Retinal Breaks in Macular Hole Surgery.
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Accession number;01A0273757
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| Title;Factors Related to Intraoperative Retinal Breaks in Macular Hole Surgery. |
| Author;
KUMAGAI KAZUYUKI
(Shinjo Ganka Iin)
OGINO NOBUCHIKA
(Shinjo Ganka Iin)
DEMIZU SEIJI
(Shinjo Ganka Iin)
ATSUMI KAZUNARI
(Sogo Kami-Iida Daiichi Byoin)
KURIHARA HIDEYUKI
(Hakusuikai, Kurihara Ganka Byoin)
IWAKI MASAYOSHI
(Aichi Med. Univ.)
ISHIGOOKA HITOSHI
(Kyoto Soc. Work Found. Kyoto Katsura Hosp.)
TACHI NAHOKO
(Shinseikai Toyamabyoin)
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Journal Title;Journal of Japanese Ophthalmological Society
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Journal Code:Z0666A
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ISSN:0029-0203
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VOL.105;NO.2;PAGE.129-133(2001)
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| Figure&Table&Reference;TBL.9, REF.22 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;Purpose: To evaluate the factors of intraoperative retinal breaks in macular hole surgery. Methods: This study included 558 eyes of 506 patients who underwent idiopathic macular hole surgery by one surgeon. Multiple regression was performed using the variables of gender, age, affected eye, lens status, stage, duration of symptoms, hole size, axial length, and lattice degeneration. Results: The rate of retinal breaks was higher in stage 3 (16.0%) than in stage 4 (8.2%) (p=0.014). In eyes with lattice degeneration intraoperative retinal breaks occurred in about 40% of the cases. Major factors were as follows: lattice degeneration (r=0.24, p<0.0001) in all eyes, stage (r=0.090, p=0.048) in eyes without lattice degeneration, and gender (r=-0.18, p=0.035) in eyes of stage 4 without lattice degeneratron. Conclusions: The factors of intraoperative retinal breaks in macular hole surgery were lattice degeneration in all eyes and stage 3 in eyes without lattice degeneration. The high incidence of intraoperative retinal breaks in stage 3 was mainly due to the occurrance of posterior vitreous detachment . Male gender was a significant factor associated with intraoperative retinal breaks. (author abst.) |
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