PMID- 32313173 OWN - NLM STAT- MEDLINE DCOM- 20210618 LR - 20210919 IS - 1476-5454 (Electronic) IS - 0950-222X (Print) IS - 0950-222X (Linking) VI - 34 IP - 5 DP - 2020 May TI - Management of vitreous floaters: an international survey the European VitreoRetinal Society Floaters study report. PG - 825-834 LID - 10.1038/s41433-020-0825-0 [doi] AB - BACKGROUND/OBJECTIVES: To evaluate the efficacy and safety of pars plana vitrectomy for symptomatic floaters. SUBJECTS/METHODS: Forty-eight vitreoretinal surgeons from 16 countries provided information on 581 eyes who underwent vitrectomy for floaters in this retrospective survey study conducted by European VitreoRetinal Society. Percentage symptomatic improvement, incidence of retinal tears/detachment and post-vitrectomy cataract surgery, and the factors associated with satisfaction and complications were investigated. RESULTS: Ninety-two percent were satisfied with the results, with 86.3% reporting complete resolution of daily-life symptoms. Overall satisfaction was lower in patients with smaller vitreous opacities at presentation (OR:0.4). Iatrogenic retinal breaks occurred in 29 eyes (5%). Core vitrectomy and cut rates of 1500-4000 or >4000 cuts/min were associated with lower risk of retinal breaks than complete vitrectomy (OR:0.05) and cut rates < 1500 cuts/min (OR: 0.03, 0.12, respectively). Fourteen eyes (2.4%) developed retinal detachment at a median of 3 months; and 84 (48.6%) developed cataract at a median of 16 months post-vitrectomy. CONCLUSIONS: Pars plana vitrectomy resulted in high patient satisfaction with relatively low rate of severe complications in a large group of patients. The procedure may be safer when core vitrectomy and cut rates > 1500 cuts/min are favoured. Proper patient selection and informed consent are the most important aspects of surgery. FAU - Zeydanli, Ece Ozdemir AU - Zeydanli EO AUID- ORCID: 0000-0001-6479-2228 AD - Polatli State Hospital, 06900, Ankara, Turkey. eceozdemirzeydanli@gmail.com. FAU - Parolini, Barbara AU - Parolini B AD - EyeCare Clinic, Via Cefalonia 70, 25124, Brescia, Italy. FAU - Ozdek, Sengul AU - Ozdek S AD - Gazi University School of Medicine, 06500, Ankara, Turkey. FAU - Bopp, Silvia AU - Bopp S AD - Capio Augenklinik Universitatsallee, Parkallee 301, D-28213, Bremen, Germany. FAU - Adelman, Ron A AU - Adelman RA AD - Yale University School of Medicine, New Haven, CT, USA. FAU - Kuhn, Ferenc AU - Kuhn F AD - Helen Keller Foundation for Research and Education, Birmingham, AL, USA. FAU - Gini, Giampaolo AU - Gini G AD - Eye Unit, Southampton University Hospital, Southampton, UK. FAU - Sallam, Ahmed B AU - Sallam AB AD - Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, AR, USA. FAU - Aksakal, Nur AU - Aksakal N AD - Department of Public Health, Gazi University School of Medicine, 06500, Ankara, Turkey. CN - EVRS Floaters Study Group LA - eng GR - UL1 TR001863/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20200420 PL - England TA - Eye (Lond) JT - Eye (London, England) JID - 8703986 SB - IM MH - Humans MH - Postoperative Complications/epidemiology MH - *Retinal Detachment/surgery MH - *Retinal Perforations/surgery MH - Retrospective Studies MH - Vitrectomy MH - Vitreous Body/surgery PMC - PMC7182575 COIS- The authors declare that they have no conflict of interest. FIR - Sallam, Ahmed B IR - Sallam AB FIR - Ellabban, Abdallah A IR - Ellabban AA FIR - Parolini, Barbara IR - Parolini B FIR - Ozdek, Sengul IR - Ozdek S FIR - Chhablani, Jay IR - Chhablani J FIR - Fiser, Ivan IR - Fiser I FIR - Brazda, Filip IR - Brazda F FIR - Bedrich, Petr IR - Bedrich P FIR - Kanovsky, Robert IR - Kanovsky R FIR - Koch, Philippe IR - Koch P FIR - Unsal, Erkan IR - Unsal E FIR - Kuhn, Ferenc IR - Kuhn F FIR - Matonti, Frederic IR - Matonti F FIR - Gini, Giampaolo IR - Gini G FIR - Aristodemou, Petros IR - Aristodemou P FIR - Boon, Camiel J F IR - Boon CJF FIR - Szijarto, Zsuzsanna IR - Szijarto Z FIR - Estacy, Gerard IR - Estacy G FIR - Kusserow, Christine IR - Kusserow C FIR - Turco, Isabella IR - Turco I FIR - Badat, Idriss IR - Badat I FIR - Bopp, Silvia IR - Bopp S FIR - Brix, Alexandra IR - Brix A FIR - Lucke, Klaus IR - Lucke K FIR - Schuler, Andreas IR - Schuler A FIR - Ducournau, Didier IR - Ducournau D FIR - Veith, Miroslav IR - Veith M FIR - Primavera, Vito IR - Primavera V FIR - Noci, Nicola Delle IR - Noci ND FIR - Hamon, Frederic IR - Hamon F FIR - Adelman, Ron A IR - Adelman RA FIR - Uy, Roberto IR - Uy R FIR - Soyeur, Rita IR - Soyeur R FIR - Fourmaux, Eric IR - Fourmaux E FIR - Demosthenos, Constantinos IR - Demosthenos C FIR - Becquet, Frank IR - Becquet F FIR - Berrod, Jean-Paul IR - Berrod JP FIR - Hubert, Isabelle IR - Hubert I FIR - Rusnak, Stepan IR - Rusnak S FIR - Neves, Pedro IR - Neves P FIR - Martins, David IR - Martins D FIR - Tosi, Gian Marco IR - Tosi GM FIR - Glacet-Bernard, Agnes IR - Glacet-Bernard A FIR - Mochi, Benedetto IR - Mochi B FIR - Aroca, Pedro Romero IR - Aroca PR FIR - Lafontaine, Pierre-Olivier IR - Lafontaine PO FIR - Lytvynchuk, Lyubomyr IR - Lytvynchuk L FIR - Saeed, Manzar IR - Saeed M FIR - Gunda, Manish IR - Gunda M FIR - Gremillion, Charles IR - Gremillion C EDAT- 2020/04/22 06:00 MHDA- 2021/06/22 06:00 PMCR- 2021/05/01 CRDT- 2020/04/22 06:00 PHST- 2019/08/18 00:00 [received] PHST- 2019/11/19 00:00 [accepted] PHST- 2020/04/22 06:00 [pubmed] PHST- 2021/06/22 06:00 [medline] PHST- 2020/04/22 06:00 [entrez] PHST- 2021/05/01 00:00 [pmc-release] AID - 10.1038/s41433-020-0825-0 [pii] AID - 825 [pii] AID - 10.1038/s41433-020-0825-0 [doi] PST - ppublish SO - Eye (Lond). 2020 May;34(5):825-834. doi: 10.1038/s41433-020-0825-0. Epub 2020 Apr 20.