ArticleInternational ophthalmology2026
Risk factors for iatrogenic retinal breaks during induction of posterior vitreous detachment in macula surgery.
Article in International ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo determine risk factors for retinal breaks (RB) during the surgical induction of posterior vitreous detachment (IPVD) in macula surgery.
methodsWe retrospectively reviewed electronic records for all adult patients undergoing 25-G or 27-G vitrectomy for macula pathology between November 2019 and January 2024 requiring intraoperative IPVD. We excluded eyes with pre-existing PVD, panretinal photocoagulation, trauma, age < 18 years or missing information. The outcome measure was non-sclerotomy-related iatrogenic RB. We assessed the effect of age, gauge size (25-G vs 27-G), surgical indication (epiretinal membrane [ERM] vs macular hole[MH]/vitreomacular traction syndrome[VMTS]), lens status (Phakic vs Aphakic/Pseudophakic) and surgeon (Consultant vs Fellow) on the odds of RB.
resultsAmong 185 eyes included in our study, 15.1% experienced a RB during IPVD. Breaks were predominantly located in the inferior retina (69%). Multivariable analysis revealed gauge size significantly impacted RB rate (27-G OR 0.13 95%CI 0.03-0.60, p = 0.008). Other factors including age (OR 0.98 95%CI 0.96-1.01, p = 0.18), lens status (Phakic OR 0.36 95%CI 0.13-1.01, p = 0.053), surgeon grade (Fellow OR 1.8 95%CI 0.18-18.9, p = 0.61) and surgical indication (MH OR 0.70 95%CI 0.30-1.7, p = 0.42) were not significantly associated with odds of RB.
conclusionsThere is a high rate of iatrogenic RB in eyes requiring IPVD undergoing macula surgery. Smaller instrument gauge size was associated with lower odds of RB during IPVD, however causal inferences cannot be drawn from these findings. Neither age, surgical indication nor lens status were associated with odds of RB.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.