["Floaterectomy"--pars-plana-vitrectomy for vitreous opacities]. / "Floaterektomie"--Pars-Plana-Vitrektomie wegen Glaskörpertrübungen.
Klin Monbl Augenheilkd
; 225(5): 366-9, 2008 May.
Article
em De
| MEDLINE
| ID: mdl-18454374
ABSTRACT
BACKGROUND:
Patients suffer from vitreous opacities, despite good visual acuity. The lack of objective measurements may make it difficult to justify the indication for vitreous surgery. PATIENTS ANDMETHODS:
We analysed retrospectively the outcome of 90 eyes/ 67 patients, age 20 - 86 years (mean 60 +/- 19) after pars plana vitrectomy (ppv) for vitreous opacities. Follow-up was 6 - 40 months (mean 19 +/- 9). Additional pathologies (except cataract) possibly affecting the functional outcome were present in 33 % (uveitis 8 %, premacular membrane 10 %, other 15 %). The technique consisted of a standard 3-port vitrectomy (44 % 25-gauge, 46 % 20-gauge). In 78 % ppv was combined with phacoemulsification + IOL implantation.RESULTS:
Mean preoperative visual acuity was 0.6, postoperative 1.0 (+ 2.3 lines, p > 0.0001). One eye lost 2 lines. Peripheral retinal tears occurred in 11 %. Long-term complications (12 - 31 months) consisted of premacular membrane formation (1), luxation of the IOL/capsular bag. Secondary interventions included YAG capsulotomy (4) and glaucoma surgery (1). 94 % of all patients (98 % if additional pathologies were excluded) were satisfied with the outcome.CONCLUSIONS:
Pars plana vitrectomy for vitreous opacities is safe and effective. Careful patient selection is crucial.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Vitrectomia
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Corpo Vítreo
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Oftalmopatias
Limite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
De
Revista:
Klin Monbl Augenheilkd
Ano de publicação:
2008
Tipo de documento:
Article