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- W2331803313 abstract "In Brief Purpose: To evaluate risk factors for sclerotomy leakage in 23-gauge sutureless pars plana vitrectomy in 219 patients. Methods: Nested case-control study involving 48 patients with wound leaks (visible on-table sclerotomy leakage requiring sutures) and 171 control subjects without wound leaks. Patients received either a conventional sclerotomy incision at 45°, which was then changed to 90° midincision, or an extremely oblique sclerotomy incision (OSI) at 10°, which was then changed to 30° midincision. Risk factors studied included age, gender, laterality, surgical duration, sclerotomy incision (OSI vs. conventional sclerotomy incision), preoperative diagnosis (macular vs. nonmacular), history of vitrectomy, and primary surgeon (attending vs. supervised resident). Results: Multivariate logistic regression analysis found significant (P ≤ 0.05) protective factors for wound leakage including OSI, macular preoperative diagnosis, no previous vitrectomy, and female gender. Surgical duration at least 45 minutes was considered a borderline risk factor. Conclusion: Using an extremely OSI versus a conventional sclerotomy incision reduces the incidence of wound leakage postoperatively because of its self-sealing effect. Other factors that contribute to wound leakage, such as increased surgical duration and nonmacular diagnosis, may be indirect measurements of extensive trocar rotation, causing wound leakage despite the use of an OSI. This study evaluated factors that could protect against wound leakage in 23-gauge pars plana vitrectomy. Preoperative and perioperative factors that protected against wound leakage were an extremely oblique sclerotomy incision, preoperative diagnosis of epimacular membrane or macular hole, no previous vitrectomy, and female gender." @default.
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- W2331803313 date "2011-06-01" @default.
- W2331803313 modified "2023-09-23" @default.
- W2331803313 title "FACTORS AFFECTING WOUND LEAKAGE IN 23-GAUGE SUTURELESS PARS PLANA VITRECTOMY" @default.
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- W2331803313 doi "https://doi.org/10.1097/iae.0b013e3181ff0d77" @default.
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