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We defined SRRBs as the presence of retinal breaks behind the sclerotomy site.
With regard to our patients who developed late SRRBs, all of them presented with retinal detachment, which could have progressed easily in their vitrectomized eyes.
The sites of the breaks—whether nasal or temporal—and their exact location—whether at the ora serrata or equator—were not properly documented in the charts. However, they were all behind the sclerotomy sites.
All cases that underwent PPV had the posterior hyaloid face peeled up to periphery as a basic part of the procedure.
In our data, only 2 patients out of the 10 who developed late SRRB had scleral buckle along with PPV.
The statement by Singh et al that patients undergoing PPV for open globe injuries … are at greater risk of developing SRRBs is clearly documented in our article. We stated the following: “Open globe injury was found to significantly increase the risk of SRRB (P = 0.0007).”
In conclusion, we agree that proper examination of the sclerotomy site at the end of PPV in addition to complete posterior hyaloid stripping can reduce the incidence of SRRBs.
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