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1.
Pan Afr Med J ; 35: 1, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32117517

RESUMO

We report a case of sight threatening vitreous haemorrhage and retinal detachment as complication of sickle cell disease (SCD). A 35 years old female Nigerian patient had presented to ophthalmology clinic of Princess Marina Hospital, Botswana, with two weeks history of poor vision in the left eye. The loss of vision was due to vitreous haemorrhage and retinal detachment which was confirmed by direct and indirect ophthalmoscopy and B-Scan ultrasound. Prior to presentation, patient didn't have any follow up by an ophthalmologist as part of regular medical care for patients with SCD. We emphasize the importance of regular follow up for early detection, treatment and prevention of complication associated with sickle cell disease.


Assuntos
Anemia Falciforme/complicações , Descolamento Retiniano/diagnóstico , Hemorragia Vítrea/diagnóstico , Adulto , Feminino , Humanos , Oftalmoscopia , Descolamento Retiniano/etiologia , Ultrassonografia , Transtornos da Visão/diagnóstico , Transtornos da Visão/etiologia , Hemorragia Vítrea/etiologia
2.
Ophthalmologica ; 242(4): 234-238, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31480058

RESUMO

BACKGROUND: Surgical intervention for dense vitreous hemorrhage (DVH) with unclear etiology is often delayed in favor of conservative follow-up despite possible disease progression and the availability of safe minimally invasive vitrectomy. OBJECTIVES: The aim of this study is to investigate the efficacy of early surgical intervention for DVH with unknown etiology. METHODS: Eighty-eight cases (88 eyes) of DVH with unknown origin were retrospectively reviewed. Inclusion criteria were as follows: (1) measured visual acuity (VA) of 20/200 or worse and (2) fundus invisibility requiring B-scan ultrasonography. Eyes with a history of diabetic retinopathy, recent trauma, or likely retinal detachment (RD) as revealed by B-scan ultrasonography were excluded. Outcome measures were a cause of vitreous hemorrhage and final VA following early (≤2 weeks after symptom onset) or delayed vitrectomy. RESULTS: The most frequently occurring causes of DVH were central or branch retinal vein occlusion (30 eyes, 34%) and retinal tear or RD (29 eyes, 33%). logMAR VA significantly improved after treatment (p < 0.001). Final VA was significantly higher for eyes treated within 2 weeks compared with eyes treated later than 2 weeks after symptom onset (p = 0.020). CONCLUSIONS: Surgical intervention within 2 weeks after symptom onset may prevent a lower visual outcome.


Assuntos
Terapia a Laser/métodos , Acuidade Visual , Vitrectomia/métodos , Corpo Vítreo/diagnóstico por imagem , Hemorragia Vítrea/cirurgia , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Fatores de Tempo , Resultado do Tratamento , Ultrassonografia , Hemorragia Vítrea/diagnóstico , Adulto Jovem
4.
BMC Ophthalmol ; 19(1): 141, 2019 Jul 04.
Artigo em Inglês | MEDLINE | ID: mdl-31272412

RESUMO

BACKGROUND: A persistent hyaloid artery is a rare fetal remnant. Several complications such as amblyopia, vitreous hemorrhage, and retinal detachment have been reported. Here, we present a case of vitreous hemorrhage with a persistent hyaloid artery. CASE PRESENTATION: A healthy 16-year-old male presented with blurred vision in his left eye. Vitreous hemorrhage occurred and absorbed spontaneously. Slit-lamp examination demonstrated a Mittendorf's dot and fundus examination revealed a persistent hyaloid artery. Optical coherence tomography (OCT) showed a Bergmeister's papilla. The blood flow of the persistent hyaloid artery via the Bergmeister's papilla was found by OCT angiography. CONCLUSION: The persistent hyaloid artery should be considered as a cause of spontaneous vitreous hemorrhage of young healthy patient. The OCT angiography will be a useful noninvasive approach to confirm the patency of the persistent hyaloid artery.


Assuntos
Angiofluoresceinografia/métodos , Vítreo Primário Hiperplásico Persistente/diagnóstico , Vasos Retinianos/diagnóstico por imagem , Tomografia de Coerência Óptica/métodos , Acuidade Visual , Adolescente , Fundo de Olho , Humanos , Masculino , Vítreo Primário Hiperplásico Persistente/complicações , Hemorragia Vítrea/diagnóstico , Hemorragia Vítrea/etiologia
5.
Indian J Ophthalmol ; 67(6): 732-739, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31124481

RESUMO

Vitreous hemorrhage is one of the most common causes of sudden, painless loss of vision in adults. This is probably one of the reasons why it has been extensively studied and reported in literature. However, the same cannot be said when it comes to vitreous hemorrhage in the pediatric age group. The causes of vitreous hemorrhage in children tend to differ from those of adults. Not much data exist regarding their presentation and management. In addition to trauma, certain spontaneous causes such as pediatric tumors and congenital conditions assume importance while considering the differential diagnosis of vitreous hemorrhage in the pediatric age group. However, it is natural that the treating ophthalmologist is faced with challenges when a child presents with vitreous hemorrhage. In this narrative review, we have attempted to analyze the retrospective observational studies regarding pediatric vitreous hemorrhage reported in English literature till date. The article sheds some light on the prevailing epidemiology, management strategies employed and the visual outcome among different regions of the world.


Assuntos
Gerenciamento Clínico , Acuidade Visual , Corpo Vítreo/diagnóstico por imagem , Hemorragia Vítrea , Criança , Saúde Global , Humanos , Morbidade/tendências , Hemorragia Vítrea/diagnóstico , Hemorragia Vítrea/epidemiologia , Hemorragia Vítrea/terapia
6.
Zhonghua Yan Ke Za Zhi ; 55(4): 267-272, 2019 Apr 11.
Artigo em Chinês | MEDLINE | ID: mdl-30982288

RESUMO

Objective: To investigate the ocular manifestations of human immunodeficiency virus (HIV) and syphilis coinfection. Methods: A retrospective analysis of the ocular manifestations was carried out in 27 patients (54 eyes) diagnosed as syphilis and HIV coinfection by the Department of Infectious Medicine in Peking Union Medical College Hospital during the years of 2006-2017. The research included 26 males and 1 female, aging from 24 to 76 years old, with a mean age of 40.40±12.94 years old. Ocular anterior segments were examined with slit-lamp microscope. Fundus examinations were conducted with papillary dilation, fundus photography. Results: At the first visit, there were 2 eyes without light perception, 4 eyes with light perception, 1 eye with hand movement, 1 eye with finger counting, 2 eyes with 0.01-0.09 eyesight, 8 eyes with 0.1-0.2 eyesight, 12 eyes with 0.25-0.4 eyesight, 15 eyes with 0.5-0.9 eyesight, 9 eyes with 1.0-1.5 eyesight. Among the 27 patients (54 eyes) coinfected with HIV and syphilis, keratic precipitates were identified in 20 eyes, aqueous flare positive in 20 eyes, float positive in 15 eyes, and iris posterior synechias in 7 eyes. Nineteen eyes were diagnosed as syphilis uveitis, including 2 eyes with syphilis anterior uveitis and 17 eyes with syphilis panuveitis, among which, vitreous inflammatory opacity was observed in all 19 eyes, disk atrophy in 2 eyes, optic edema in 1 eye, vitreous hemorrhage in 1 eye, retinal detachment in 2 eyes, retinal hemorrhage and white vein in 1 eye. In addition, 8 eyes were diagnosed as HIV retinopathy, all manifested as cotton-wool spot. Among the 8 eyes, 4 were diagnosed as cytomegalovirus retinitis, 3 showed retinal yellow-white lesions, and 1 was in late phase which showed retinal pigmentation. The incidence of both HIV and syphilis coinfection patients and male homosexuality population increased. The most common ocular manifestation of HIV and syphilis coinfection was syphilis panuveitis. Six patients first visited the Department of Ophthalmology, and were then diagnosed as HIV and syphilis coinfection. Conclusions: The ocular manifestations of HIV and syphilis coinfection are diversified, which can be manifested as fundus necrotic lesions as well as anterior and posterior inflammatory. For HIV positive patients, syphilis serologic test should be routinely performed. The same, syphilis positive patients should be tested for HIV serum antibodies, in order to improve the diagnosis level of HIV/syphilis coinfection and give timely etiological treatment, which is of vital importance for saving visual acuity. (Chin J Ophthalmol, 2019, 55:267-272).


Assuntos
Coinfecção/complicações , Infecções Oculares Bacterianas/complicações , Infecções Oculares Virais/complicações , Infecções por HIV/complicações , Sífilis/complicações , Uveíte/microbiologia , Adulto , Idoso , Coinfecção/microbiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Uveíte/diagnóstico , Acuidade Visual , Hemorragia Vítrea/diagnóstico , Adulto Jovem
8.
Indian J Ophthalmol ; 67(3): 419-423, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30777976

RESUMO

Five Indian patients presenting with unilateral vitreous hemorrhage (VH) underwent pars plana vitrectomy (PPV) and were found to have lesions suggestive of peripheral exudative hemorrhagic chorioretinopathy (PEHCR). All eyes had extensive sub-retinal hemorrhage; three also showed an elevated mass lesion. The temporal retina anterior to the equator was the most commonly affected site. Exudative manifestations were absent in all. No recurrences occurred over a mean follow-up of 17.5 months. Although PEHCR is reported to be rare in Asians, this series demonstrates that it can present as VH in Indians as well. Unless the macula has irreversible damage, a favorable outcome can be obtained with PPV alone.


Assuntos
Doenças da Coroide/complicações , Macula Lutea/patologia , Hemorragia Retiniana/complicações , Acuidade Visual , Hemorragia Vítrea/etiologia , Idoso , Idoso de 80 Anos ou mais , Doenças da Coroide/diagnóstico , Doenças da Coroide/cirurgia , Exsudatos e Transudatos , Feminino , Angiofluoresceinografia , Fundo de Olho , Humanos , Índia , Masculino , Pessoa de Meia-Idade , Hemorragia Retiniana/diagnóstico , Hemorragia Retiniana/cirurgia , Tomografia de Coerência Óptica , Vitrectomia , Hemorragia Vítrea/diagnóstico , Hemorragia Vítrea/cirurgia
10.
Retin Cases Brief Rep ; 13(1): 72-74, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-28092313

RESUMO

PURPOSE: The tractional retinoschisis is a poorly understood, rare, and likely underappreciated entity in retinopathy of prematurity. The purpose of this article is to describe clinical findings and surgical management of tractional retinoschisis in retinopathy of prematurity, masquerading as Stage 4 retinopathy of prematurity retinal detachment. METHODS: A retrospective review of a single case with literature review and case discussion. RESULTS: In this report, we describe a child with retinopathy of prematurity and tractional schisis, who initially presented with vitreous hemorrhage and was effectively managed by vitrectomy and inner wall retinectomy. At 5 months after vitrectomy, the child demonstrated complete collapse of the retinoschisis with intact posterior pole and brisk light perception. CONCLUSION: Vitrectomy with or without inner wall retinectomy is effective in the management of tractional retinoschisis.


Assuntos
Retinopatia da Prematuridade/complicações , Retinosquise/cirurgia , Acuidade Visual , Vitrectomia/métodos , Hemorragia Vítrea/cirurgia , Humanos , Recém-Nascido , Masculino , Retinopatia da Prematuridade/cirurgia , Retinosquise/diagnóstico , Retinosquise/etiologia , Hemorragia Vítrea/diagnóstico , Hemorragia Vítrea/etiologia
11.
Eur J Ophthalmol ; 29(2): 251-256, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-29972027

RESUMO

PURPOSE:: To evaluate the feasibility and outcomes of the sole use of 23g pars plana vitrectomy in cases with diabetic vitreous hemorrhage with vitreoretinal traction. METHODS:: Prospective interventional case series involving patients between January 2013 and January 2018. All eyes underwent 23g pars plana vitrectomy with internal tamponade. Intraoperative parameters including ancillary instruments, the methods used for hemostasis and complications were all recorded. Postoperative parameters including anatomic success rate, functional success, and postoperative complications were recorded and analyzed. Patients were followed up for at least 12 months. RESULTS:: A total of 68 eyes of 66 patients were included. Intraoperative ancillary instruments were required in 5 (7.4%) eyes. None of the cases required the use of chandelier illumination, endodiathermy, or scissors. Mean best-corrected visual acuity improved significantly from LogMAR 1.67 ± 0.63 preoperative to 1.22 ± 0.38 at 1-year follow-up (P = 0.005). Functional success was achieved in 37 (54.4%) eyes at 1-year follow-up. Iatrogenic breaks occurred in 3 (4.4%) eyes, vitreous hemorrhage in 4 (5.9%) eyes, and epiretinal membranes in 3 (4.4%) eyes. Repeated vitrectomy was done in 3 (4.4%) eyes. CONCLUSION:: The 23g vitrectomy probe proved to be a safe, effective, and beneficial single tool that could accomplish the diabetic vitrectomy mission exclusively with minimal aid from other instruments in cases with vitreous hemorrhage associated with vitreoretinal traction.


Assuntos
Retinopatia Diabética/cirurgia , Microcirurgia/métodos , Acuidade Visual , Vitrectomia , Hemorragia Vítrea/cirurgia , Adulto , Idoso , Retinopatia Diabética/complicações , Retinopatia Diabética/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Estudos Retrospectivos , Hemorragia Vítrea/diagnóstico , Hemorragia Vítrea/etiologia
13.
Ophthalmic Surg Lasers Imaging Retina ; 49(11): 893-896, 2018 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-30457649

RESUMO

Since the publication of BEAT-ROP in 2011, intravitreal bevacizumab (IVB) has become increasingly common for the treatment of posterior type 1 retinopathy of prematurity (ROP). However, long-term data on the safety and efficacy of IVB for ROP are lacking. Vitreous hemorrhage following bevacizumab injections have been rarely reported in infants with ROP, and the need for treatment of these hemorrhages remains in question. Here, the authors report a case of bilateral vitreous hemorrhage in a premature infant within 2 weeks of bilateral intravitreal injections of bevacizumab. These hemorrhages resolved without intervention with regression of ROP in both eyes. [Ophthalmic Surg Lasers Imaging Retina. 2018;49:893-896.].


Assuntos
Bevacizumab/efeitos adversos , Retinopatia da Prematuridade/tratamento farmacológico , Corpo Vítreo/patologia , Hemorragia Vítrea/induzido quimicamente , Inibidores da Angiogênese/administração & dosagem , Inibidores da Angiogênese/efeitos adversos , Bevacizumab/administração & dosagem , Angiofluoresceinografia/métodos , Fundo de Olho , Idade Gestacional , Humanos , Recém-Nascido , Injeções Intravítreas/efeitos adversos , Fotocoagulação a Laser/métodos , Masculino , Retinopatia da Prematuridade/diagnóstico , Tomografia de Coerência Óptica/métodos , Acuidade Visual , Hemorragia Vítrea/diagnóstico , Hemorragia Vítrea/cirurgia
14.
Ophthalmic Genet ; 39(6): 754-758, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30406707

RESUMO

BACKGROUND: Loeys-Dietz syndrome (LDS) is a connective tissue disorder that has phenotypic overlap with Marfan syndrome. In LDS, the aortic root dissections can be more aggressive and occur at a younger age than Marfan syndrome. MATERIALS AND METHODS: Review of two cases. RESULTS: A 7-year old boy with history of LDS was found to have a vitreous hemorrhage in the right eye. Further examination showed findings of Familial Exudative Vitreoretinopathy (FEVR). Both eyes were found to have peripheral non-perfusion and neovascularization. A non-related 25-month-old boy with no molecularly confirmed connective tissue disorder was found to have bilateral peripheral non-perfusion and bilateral tractional retinal detachments. The boy was clinically diagnosed with Larsen syndrome, Ehlers-Danlos syndrome kyphoscoliotic form, and Marfan syndrome before presentation. The FEVR lead to consideration of LDS that was molecularly confirmed. Consequently, he was monitored for aortic root dilation. CONCLUSION: FEVR findings may lead to diagnosis of LDS and patients with LDS may present with proliferative retinopathy.


Assuntos
Aneurisma da Aorta Torácica/diagnóstico , Oftalmopatias Hereditárias/diagnóstico , Síndrome de Loeys-Dietz/diagnóstico , Doenças Retinianas/diagnóstico , Aneurisma da Aorta Torácica/genética , Criança , Pré-Escolar , Análise Mutacional de DNA , Oftalmopatias Hereditárias/cirurgia , Humanos , Síndrome de Loeys-Dietz/genética , Masculino , Receptor do Fator de Crescimento Transformador beta Tipo II/genética , Descolamento Retiniano/diagnóstico , Doenças Retinianas/cirurgia , Acuidade Visual , Vitrectomia , Vitreorretinopatia Proliferativa/diagnóstico , Hemorragia Vítrea/diagnóstico
15.
Eur J Ophthalmol ; 28(4): 469-471, 2018 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-29973074

RESUMO

PURPOSE: To describe a new surgical technique for performing vitreous cavity lavage. METHODS: After a 23G trocar cannula was inserted into the vitreous cavity at the lowest point of the eyeball 3.5 or 4 mm posterior to the limbus, a 27G infusion line with balanced salt solution was attached to the cannula. The infusion tube was partially withdrawn and the vitreous fluid with blood flowed out through the space between the larger lumen of the cannula and the smaller infusion tube. Meanwhile, vitreous cavity was irrigated with fresh balanced salt solution through the infusion line and the intraocular pressure (IOP) was maintained. The vitreous clarity was checked by indirect ophthalmoscopy. RESULTS: A total of 14 eyes of 14 patients with postvitrectomy hemorrhage were treated with the lavage technique. The vision improved and the fundus could be sufficiently viewed next day in all cases. This fluid/fluid exchange procedure was also performed in fluid/air exchange in two cases of unclosed idiopathic macular hole with switching to air infusion instead of balanced salt solution infusion. CONCLUSION: This minimally invasive technique is a simple, safe, and efficient way of performing postvitrectomy vitreous cavity fluid/fluid or fluid/air exchange.


Assuntos
Cânula , Retinopatia Diabética/cirurgia , Complicações Pós-Operatórias/terapia , Vitrectomia/métodos , Hemorragia Vítrea/terapia , Adulto , Idoso , Desenho de Equipamento , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Oftalmoscopia , Irrigação Terapêutica/instrumentação , Corpo Vítreo , Hemorragia Vítrea/diagnóstico , Hemorragia Vítrea/etiologia
16.
Indian J Ophthalmol ; 66(8): 1094-1097, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30038149

RESUMO

Purpose: To describe chandelier-assisted retroillumination for phacoemulsification in patients with poor fundal glow due to posterior segment pathology during combined phacovitrectomy procedure. Methods: This was a prospective observational study. Thirty eyes underwent combined phacoemulsification and 25G sutureless pars plana vitrectomy. Sclerotomy port for chandelier tip was made in the inferotemporal or superonasal quadrant based on the incision site for phacoemulsification. Later, it was replaced with infusion cannula or endoilluminator. Cases included had posterior segment pathologies such as vitreous hemorrhage and vitritis. Results: Red reflex was markedly enhanced during phacoemulsification for all cases. In all eyes, a continuous curvilinear capsulorhexis was achieved without the use of dye. The posterior capsule remained intact in all cases. The visual acuity in all patients improved, and the median best-corrected visual acuity was 20/60 (range: 4/60-20/30) at 6 months. There were no intraoperative or postoperative complications. Conclusion: Cases with poor red reflex pose a challenge for anterior segment surgeons, and chandelier-assisted retroillumination proves to be a safe and effective tool in combined phacovitrectomy surgeries. Moreover, no additional cannula port is required for this chandelier insertion.


Assuntos
Catarata/complicações , Luz , Microcirurgia/métodos , Facoemulsificação/métodos , Segmento Posterior do Olho/patologia , Vitrectomia/métodos , Hemorragia Vítrea/cirurgia , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Resultado do Tratamento , Hemorragia Vítrea/complicações , Hemorragia Vítrea/diagnóstico
17.
BMC Ophthalmol ; 18(1): 172, 2018 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-30005697

RESUMO

BACKGROUND: Cases of intrapapillary hemorrhage with adjacent peripapillary subretinal hemorrhage usually appear in myopic eyes with tilted optic discs, can improve without any specific treatment, and very rarely recur. But there has been no report of the use of advanced multimodal imaging such as spectral domain optical coherence tomography. We describe two rare cases of intrapapillary hemorrhage with adjacent peripapillary subretinal hemorrhage in an 11-year-old female and a 16-year-old male. CASE PRESENTATION: An 11-year-old female with no past history presented with floaters in her right eye. Her BCVA (best-corrected visual acuity) by the Snellen was 20/20. Fundus examination, optical coherence tomography (OCT) revealed intrapapillary hemorrhage, peripapillary subretinal hemorrhage. After 3 weeks, all hemorrhage was resolved. Similarly, a 16-year-old male with no past history presented with blurry vision, black filamentous floaters. His BCVA was 20/20 in both eyes. Fundus examination showed intrapapillary hemorrhage, peripapillary subretinal hemorrhage while OCT revealed peripapillary edema in his right eye. Multimodal imaging did not reveal any presence of optic disc drusen. After 4 weeks of observation, the hemorrhage resolved. Cases of intrapapillary hemorrhage with peripapillary subretinal hemorrhage have rarely been reported. CONCLUSIONS: This condition generally affects monocularly, in myopic eyes with tilted discs. Despite an unknown cause, the hemorrhages spontaneously resolved without any treatment. Consistent with the good visual prognosis reported previously, the vision, optic nerve function of the two patients were preserved. It should be differentiated from other causes of subretinal hemorrhage.


Assuntos
Disco Óptico/irrigação sanguínea , Doenças do Nervo Óptico/etiologia , Hemorragia Retiniana/etiologia , Hemorragia Vítrea/etiologia , Adolescente , Criança , Feminino , Angiofluoresceinografia , Fundo de Olho , Humanos , Masculino , Doenças do Nervo Óptico/diagnóstico , Valores de Referência , Hemorragia Retiniana/diagnóstico , Tomografia de Coerência Óptica , Hemorragia Vítrea/diagnóstico
18.
J Coll Physicians Surg Pak ; 28(6): 452-455, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29848422

RESUMO

OBJECTIVE: To compare the safety and efficacy of topical anesthesia versus peribulbar anesthesia for 23-gauge pars plana vitrectomy. STUDY DESIGN: Randomized controlled trial. PLACE AND DURATION OF STUDY: Ophthalmology Department, Lahore General Hospital, Ameer-ud-Din Medical College, Postgraduate Medical Institute, Lahore from April 2013 to March 2016. METHODOLOGY: A total of 110 patients were equally divided (n=55) in group A (topical anesthesia) and group B (peribulbar anesthesia). In group A, pledget soaked with 0.5% proparacaine hydrochloride were placed in the superior and inferior fornices three minutes before surgery, and removed just before surgery. For group B patients, 3 ml of 0.5% bupivacaine was used for peribulbar anesthesia three minutes before surgery. Surgical time was noted from the placement of pledget in fornix till the eye pad placed in group A, and from the time of peribulbar anesthesia in group B till the eye pad placed at the end of surgery. All data was recorded in Excel sheet and p-values were calculated using online OpenEpi. RESULTS: The mean age of the patient was 56.28 ±13.76 years. Male patients were 78 (70.9%) and female patients were 32 (29.1%). Mean duration of surgery was 30.32 ±7.07 minutes and mean pain score was 2.30 ±0.98. There was a significant difference with respect to mean duration of surgery in patients who were given topical anesthesia (32.52 ±6.92 minutes) versus those given peribulbar anesthesia (28.12 ±6.57 minutes, p<0.001). Mean pain score in topical anesthesia group (3.11 ±0.89) was significantly higher as compared to peribulbar anesthesia group (2.67 ±0.91, p=0.011). CONCLUSION: Topical anesthesia is as effective as peribulbar anesthesia in terms of patient comfort and duration of surgery for 23-G pars plana vitrectomy in patients with vitreous hemorrhage.


Assuntos
Anestésicos Locais/administração & dosagem , Bupivacaína/administração & dosagem , Propoxicaína/administração & dosagem , Vitrectomia/métodos , Corpo Vítreo/cirurgia , Hemorragia Vítrea/cirurgia , Administração Tópica , Adulto , Idoso , Anestesia Local/efeitos adversos , Anestesia Local/métodos , Anestésicos Locais/efeitos adversos , Bupivacaína/efeitos adversos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Duração da Cirurgia , Medição da Dor , Dor Pós-Operatória/prevenção & controle , Complicações Pós-Operatórias , Propoxicaína/efeitos adversos , Resultado do Tratamento , Hemorragia Vítrea/diagnóstico
20.
Indian J Ophthalmol ; 66(5): 706-708, 2018 05.
Artigo em Inglês | MEDLINE | ID: mdl-29676325

RESUMO

Spontaneous vitreous hemorrhage is a rare entity, present in 7 out of 100,000 inhabitants. It is associated with different pathologies; however, it is rarely reported to be caused by retinal vessel avulsion syndrome. In the present manuscript, we report a case of avulsion of retinal vessels associated with recurrent vitreous hemorrhage managed, at first, by photocoagulation, but due to the several recurrence of bleeding, the patient went into surgical management.


Assuntos
Fotocoagulação/métodos , Perfurações Retinianas/complicações , Vasos Retinianos/diagnóstico por imagem , Hemorragia Vítrea/etiologia , Feminino , Humanos , Pessoa de Meia-Idade , Recidiva , Perfurações Retinianas/diagnóstico , Perfurações Retinianas/cirurgia , Vasos Retinianos/cirurgia , Tomografia de Coerência Óptica , Hemorragia Vítrea/diagnóstico , Hemorragia Vítrea/cirurgia
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