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Ophthalmic Surg Lasers ; 28(8): 640-4, 1997 Aug.
Article in English | MEDLINE | ID: mdl-9268994

ABSTRACT

BACKGROUND AND OBJECTIVE: To investigate the risk factors associated with suprachoroidal hemorrhage (SCH) during vitrectomy. PATIENTS AND METHODS: Of 6971 pars plana vitrectomies performed between May 1988 and December 1994, SCH occurred intraoperatively in 12 (0.17%) cases. Forty-two age- and sex-matched control subjects were selected by computer-generated random numbers. Preoperative and intraoperative variables were subjected to univariate and conditional logistic regression analysis. RESULTS: Statistically significant risk factors for SCH after univariate analysis included myopia (P = .048), aphakia or pseudophakia (P = .024), rhegmatogenous retinal detachment (P = .044), scleral buckling and/or encirclage at vitrectomy (P = .029), and longer duration of surgery (P = .044). Multivariate analysis revealed independent risks associated with the absence of a lens and longer duration of the surgery. CONCLUSION: A knowledge of the risk factors involved with SCH helps the physician to identify patients who are at a greater risk for this complication.


Subject(s)
Choroid Hemorrhage/etiology , Vitrectomy/adverse effects , Adult , Aged , Aphakia, Postcataract/complications , Case-Control Studies , Female , Humans , Lenses, Intraocular/adverse effects , Male , Middle Aged , Odds Ratio , Regression Analysis , Retinal Detachment/complications , Retinal Detachment/surgery , Risk Factors , Scleral Buckling/adverse effects
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