23-Gauge vitrectomy with external drainage therapy as a novel procedure to displace massive submacular hemorrhage secondary to polypoidal choroidal vasculopathy.
Medicine (Baltimore)
; 95(32): e4192, 2016 Aug.
Article
en En
| MEDLINE
| ID: mdl-27512837
ABSTRACT
INTRODUCTION:
Massive subretinal hemorrhage (SRH) due to polypoidal choroidal vasculopathy (PCV) remains a challenging field and the best treatment is still not certain. In the present study, we performed a novel surgical method which combined 23-gauge vitrectomy with external drainage therapy for displace massive SRH secondary to PCV.METHODS:
From April 2015 to July 2015, 4 consecutive patients with massive SRH secondary to PCV received 23-gauge transconjunctival sutureless vitrectomy with external drainage therapy. Massive SRH was drained by scleral tunnel which was created using 30-gauge ultrathin needles during vitrectomy. We assessed the feasibility and safety of this procedure by analyzing best-corrected vision acuity (BCVA), central foveal thickness (CFT), and complication.RESULTS:
Four patients had a mean age of 63.8â±â6.4 years (range 59-73 years). The average interval between onset of symptoms of SRH and surgery was 23.8â±â11.1 days (range 10-35 days). Mean follow-up duration was 7.0â±â0.8 months. All patients completed 6 months follow-up. Mean BCVA gradually improved during the follow-up period. At 6 months after treatment, mean BCVA was significantly improved in comparison to preoperative findings (Pâ=â0.043, paired t test). One month after treatment, mean CFT was significantly thinner than baseline (Pâ=â0.002, paired t test). No serious ocular or systemic adverse events were observed to be associated with combination of 23-gauge vitrectomy with external drainage therapy during the 6 months follow-up period.CONCLUSIONS:
Our results show that a combination of 23-gauge vitrectomy with external drainage therapy is a novel effective and safe procedure that may be a good alternative for massive SRH due to PCV.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Vitrectomía
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Hemorragia Retiniana
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Agudeza Visual
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Drenaje
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Coroides
Tipo de estudio:
Diagnostic_studies
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Observational_studies
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Prognostic_studies
/
Risk_factors_studies
Límite:
Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
Medicine (Baltimore)
Año:
2016
Tipo del documento:
Article
País de afiliación:
China