title: Intraoperative endolaser retinopexy around the sclerotomy site for prevention of retinal detachment after pars plana vitrectomy.
abstract: OBJECTIVE
  To investigate whether intraoperative endolaser retinopexy around the sclerotomy site during pars plana vitrectomy can prevent the postoperative complication of retinal detachment (RD).
  
  
  METHODS
  Two hundred and seventy-eight patients who had undergone 20-gauge pars plana vitrectomy for various vitreoretinal disorders were investigated retrospectively. Patients who had rhegmatogenous RD and who underwent panretinal photocoagulation for diabetic retinopathy were excluded. In Group 1, 152 patients had not undergone laser retinopexy around the sclerotomy site, and in Group 2, 126 patients had undergone laser retinopexy around the sclerotomy site. The incidence rates of postoperative RD were compared.
  
  
  RESULTS
  In Group 1, 7 cases (4.6%) of RD developed: 6 cases (3.9%) of sclerotomy-related retinal breaks, and 1 of a sclerotomy-unrelated retinal break. In Group 2, superior RD developed in 1 case (0.8%), but no sclerotomy-related retinal break was observed.
  
  
  CONCLUSIONS
  Endolaser retinopexy around the sclerotomy site is relatively simple to perform, without inducing particular complications. It is expected to reduce the development of postoperative RD (4.6% vs. 0.8%; P = 0.08) and especially sclerotomy-related RD (3.9% vs. 0%; P = 0.03).
authors.affiliation: Department of Ophthalmology, Chungnam National University College of Medicine, Daejeon, Korea.
authors.forename: Chang-Sik
authors.initials: CS
authors.lastname: Kim
authors.forename: Kyoung-Nam
authors.initials: KN
authors.lastname: Kim
authors.forename: Woo-Jin
authors.initials: WJ
authors.lastname: Kim
authors.forename: Jung-Yeul
authors.initials: JY
authors.lastname: Kim
mesh_terms: D005260:Female; D006801:Humans; D007430:Intraoperative Care; D053685:Laser Therapy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D012160:Retina / Q000601:surgery*; D012163:Retinal Detachment / Q000517:prevention & control*; D012189:Retrospective Studies; D012599:Sclerostomy; D014821:Vitrectomy; D057586:Vitreoretinal Surgery