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Incidence of retinal detachment after macular surgery: a retrospective study of 634 cases
  1. Alexandre Guillaubey1,
  2. Laure Malvitte1,
  3. Pierre Olivier Lafontaine1,
  4. Isabelle Hubert2,
  5. Alain Bron1,
  6. Jean Paul Berrod2,
  7. Catherine Creuzot-Garcher1
  1. 1
    Department of Ophthalmology, University Hospital Dijon, Dijon, France
  2. 2
    Department of Ophthalmology, University Hospital Nancy, France
  1. Professor Catherine Creuzot-Garcher, Service d’Ophtalmologie, CHU Dijon, Rue du Faubourg Raines, 21000 Dijon, France; catherine.creuzot-garcher{at}chu-dijon.fr

Abstract

Aims: To evaluate the rate of retinal detachment after macular surgery.

Methods: A retrospective non-randomised study of 634 macular surgery procedures was undertaken in two academic centres. Idiopathic macular hole (IMH) surgery (n = 272) and epiretinal membrane (ERM) surgery (n = 362) were performed between 2000 and 2003. We noted the anatomical and functional results of these procedures and we studied serious complications excluding cataract.

Results: Minimum follow up was 1 year. No retinal detachment (RD) occurred in patients presenting with an intraoperative or preoperative successfully treated retinal break (RB). The rate of RD occurring after IMH surgery was higher than after the ERM surgical procedure (6.6% vs 2.5%, p = 0.02). The rate of RD was higher in patients presenting with stage 2 and 3 IMH than with stage 4 IMH. However, lens status as well as preoperatively treated RD did not influence the rate of RD after macular surgery.

Conclusion: Retinal detachment remains the most common serious complication of macular surgery. Surgical detachment of the posterior vitreous face and associated peripheral retina anomaly seem to increase the rate of this complication. Careful examination of the peripheral retina is a key issue in preventing retinal detachment occurring after macular surgery.

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Footnotes

  • Competing interests: None.

  • Abbreviations:
    ERM

    epiretinal membrane

    IMH

    idiopathic macular hole

    IOP

    high intraocular pressure

    PVD

    posterior vitreous detachment

    RB

    retinal break

    RD

    retinal detachment

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