Table of Contents
ISRN Ophthalmology
Volume 2013 (2013), Article ID 353209, 4 pages
Research Article

Incidence of Retinal Detachment after Fellow-Performed Primary Pars Plana Vitrectomy

1Casey Eye Institute, Department of Ophthalmology, Oregon Health & Science University, 3375 SW Terwilliger Boulevard, Portland, OR 97239-4197, USA
2Private Practice in Provo, Provo, UT 84604, USA
3Ophthalmology, US Air Force Joint Base Langley-Eustis, Langley, VA 23665, USA
4Department of Public Health & Preventive Medicine, Oregon Health & Science University, Portland, OR 97239-4197, USA

Received 20 June 2013; Accepted 25 August 2013

Academic Editors: M. Baskaran, I. J. Wang, and K. Wu

Copyright © 2013 Justin T. Wilkinson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Primary pars plana vitrectomy (PPV) is often performed by vitreoretinal fellows. We aimed to evaluate the incidence of retinal breaks and detachments (RD) after fellow-performed PPV. Methods. We reviewed 119 consecutive cases of standard 3-port primary PPVs on 115 patients at a teaching institution from 2003 to 2006. In all cases, the primary surgeon was a vitreoretinal fellow. Patients with previous RD were excluded. Cases were reviewed for postoperative retinal detachments, and all patients were followed for up to 1 year. Results. Intraoperative retinal breaks occurred in 5 of 119 eyes (4.2%). One break was associated with sclerotomy and 4 were not. Postoperative RD occurred in 8 of 119 eyes (6.7%). Two RDs were sclerotomy related, 5 were not, and 1 was of indeterminate origin. Conclusions. Incidence of retinal breaks and RD following primary PPV by vitreoretinal fellows is low and comparable to that of fellowship-trained surgeons.