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RISK FACTORS ASSOCIATED WITH SCLEROTOMY LEAKAGE AND POSTOPERATIVE HYPOTONY AFTER 23-GAUGE TRANSCONJUNCTIVAL SUTURELESS VITRECTOMY

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dc.contributor.authorWoo, Se Joon-
dc.contributor.authorPark, Kyu Hyung-
dc.contributor.authorHwang, Jeong-Min-
dc.contributor.authorKim, Jeong Hun-
dc.contributor.authorChung, Hum-
dc.contributor.authorYu, Young Suk-
dc.date.accessioned2012-07-02T00:48:32Z-
dc.date.available2012-07-02T00:48:32Z-
dc.date.issued2009-04-
dc.identifier.citationRETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES; Vol.29 4; 456-463ko_KR
dc.identifier.issn0275-004X-
dc.identifier.urihttps://hdl.handle.net/10371/78024-
dc.description.abstractPurpose: To investigate the incidence and risk factors of sclertomy leakage and postoperative hypotony after 23-gauge transconjunctival sutureless vitrectomy. Methods: This was a retrospective study including 322 eyes of 292 patients who underwent 23-gauge transconjunctival sutureless vitrectomy by a single surgeon with minimum follow-up period of 1 month. The incidence and risk factors of intraoperative suture placement for leaking sclerotomies and postoperative hypotony (<= 5 mmHg) were analyzed in association with seven clinical factors. Results: Intraoperative suture placement was required for leaking sclerotomies in 36 cases (11.2%) and was related to prior vitrectomy (OR = 7.5), young age (<50 years) at operation (OR = 4.9), and vitreous base dissection (OR = 3.5). The incidences of postoperative hypotony were 11.3% at 2 hours, 6.5% at 5 hours, 3.8% at 1 day, and 0% at 1 week. Myopia and gas tamponade were associated with early postoperative hypotony. No complications developed related to sclerotomy leakage or postoperative hypotony. Conclusions: The risk factors of intraoperative sclerotomy leakage requiring suture placement after 23-gauge transconjunctival sutureless vitrectomy are prior vitrectomy, a young age at operation, and vitreous base dissection. Caution should be exercised to ensure the detection of sclerotomy leakage and hypotony in cases with these risk factors.ko_KR
dc.language.isoenko_KR
dc.publisherLIPPINCOTT WILLIAMS & WILKINSko_KR
dc.subject23-gaugeko_KR
dc.subjectleakageko_KR
dc.subjecthypotonyko_KR
dc.subjecttransconjunctival sutureless vitrectomyko_KR
dc.subjectvitrectomyko_KR
dc.titleRISK FACTORS ASSOCIATED WITH SCLEROTOMY LEAKAGE AND POSTOPERATIVE HYPOTONY AFTER 23-GAUGE TRANSCONJUNCTIVAL SUTURELESS VITRECTOMYko_KR
dc.typeArticleko_KR
dc.contributor.AlternativeAuthor우세준-
dc.contributor.AlternativeAuthor박규형-
dc.contributor.AlternativeAuthor황정민-
dc.contributor.AlternativeAuthor김정훈-
dc.contributor.AlternativeAuthor유영석-
dc.contributor.AlternativeAuthor정흠-
dc.identifier.doi10.1097/IAE.0b013e318195cb28-
dc.citation.journaltitleRETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES-
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Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Ophthalmology (안과학전공)Journal Papers (저널논문_안과학전공)
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