Untersuchung von Komplikationen nach elektiven makulachirurgischen Eingriffen

by Anna-Sophie Victoria Ankersen
Doctoral thesis
Date of Examination:2025-10-20
Date of issue:2025-10-09
Advisor:Prof. Dr. Nicolas Feltgen
Referee:Prof. Dr. Nicolas Feltgen
Referee:Prof. Dr. Tim Gollisch
Referee:Prof. Dr. Dieter Kube
Persistent Address: http://dx.doi.org/10.53846/goediss-11537

 

 

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Abstract

English

Background: Pars plana vitrectomy is an established surgical procedure for the treatment of tractional maculopathies. Over the past decades, several technical innovations have been introduced into the technique. Objective: The primary aim of this study was to determine the complication rate of pars plana vitrectomy over a ten-year period at University Medical Center Goettingen. Methods: A retrospective analysis was conducted using patient data from University Medical Center Goetttingen between 2010 and 2019. From the dataset comprising all vitrectomies, cases requiring reoperation due to postoperative complications were extracted and evaluated. Results: In total, 3,113 vitrectomies were performed during the study period. Of these, 54 cases (1,73%) required reoperation due to postoperative complications, most commonly retinal detachment (1,48%) and endophthalmitis (0,26%). The estimated complication rate declined significantly over the ten years (p < 0.05). Conclusion: Pars plana vitrectomy demonstrates a relatively low complication rate in this cohort, with a statistically significant decreasing trend over the study period. These findings highlight the positive impact of technical advancements on patient outcomes and may guide further optimization of vitreoretinal surgery.
Keywords: vitrectomy; pars plana vitrectomy; endophthalmitis; retinal detachment
Schlagwörter: Vitrektomie; Pars-plana-Vitrektomie; Endophthalmitis; Ablatio retinae