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February 1977

Vitreous Surgery: XIV. Complications From Sclerotomy in 89 Consecutive Cases

Author Affiliations

From the Department of Retina Research of the Eye Research Institute of Retina Foundation and the Retina Service of the Massachusetts Eye and Ear Infirmary, Boston. Dr Tardif is now with Le Centre Hospitalier de l'Université Laval, Quebec City.

Arch Ophthalmol. 1977;95(2):229-234. doi:10.1001/archopht.1977.04450020031005

• All patients were examined preoperatively and postoperatively by indirect ophthalmoscopy and biomicroscopy with a three-mirror lens. The average follow-up was eight months. Our technique of sclerotomy consisted of an incision parallel to the limbus, measuring 1.5 times the diameter of the surgical instrument. The pars plana location was always verified with transillumination. A mattress suture over the lips of the sclerotomy was used to prevent any leakage during the procedure. The intraoperative complications included ciliary body laceration (1%), retinal tears (8%), and vitreous base incarceration in the wound. The postoperative complications consisted of retina dragged into the wound (4%), vitreous tract left by the instrument (6%), neovascular ingrowth (6%), and external symptoms from the Dacron (32%) or polyglycolic acid (5%) suture. The rate of complications is considered low for such high-risk surgery.

(Arch Ophthalmol 95:229-234, 1977)

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