Indication For Vitrectomy in A Tertiary Care Hospital
Keywords:
Pars Plana Vitrectomy, Nucleus drop, Vitreous haemorrhage, Proliferative retinopathy, TraumaAbstract
Introduction: On the basis of development in vitrectomy procedure a whole new subspecialty termed vitreoretinal surgery has evolved over past 30 years. We conducted this study to evaluate usefulness and necessity of Pars plana vitrectomy in today’s time.
Methods: A hospital-based cross-sectional study of series of cases was carried out in retina clinic of SMIMER, Surat, Gujarat, From July 2012 to November 2014. 46 patients who underwent vitreo-retina surgeries were reviewed. Demography, duration of symptoms, risk factors and indications and preoperative visual acuity analyzed.
Results: Of 46 patients, preoperatively, 89 % had visual acuity of 2/60 to perception of light .The main indication for TPPV was nuclear drop, in 50 %. Other indication in our study are vitreous haemorrhage (26.1%), proliferative retinopathy (15.2%), trauma (15.2%), dislocated IOL (6.5%), endopthalmitis (6.5%) and retinal detachment (2.2%).
Conclusion: VR surgery is undertaken for a wide range of conditions, but a small number of diagnoses encompass the majority of cases. The main indication for TPPV is Nucleus drop as our centre is a tertiary care referral centre. Main aetiology of vitreous haemorrhage was diabetic retinopathy.
References
MacHemer R. The development of pars plana vitrec-tomy: a personal account. Graefe's archive for clinical and experimental ophthalmology 1995; 233 (8): 453–68. PMID 8537019.
O’Malley C, Heintz RM. Vitrectomy via the pars pla-na – a new instrument system. Trans Pac Coast Otoophthalmol Soc Annu Meet 1972;53:121–137
G K Krieglstein and R N Weinreb. Essentials in oph-thalmology- Vitreo Retinal surgery.Progress 3. Verlag Berlin Heidelberg. Springer.2009.3
Thylefors B, Negrel AD, Pararjasegaram R,Dadzie KY. Global data on blindness. Bull World Health Or-gan 1995;73:115-21
Dandona L, Dandona R,Naduvilath TJ, et al. Is cur-rent eye care policy focus almost exclusively on cata-ract adequate to deal with blindness in India? Lancet 1998;351:1312-6
Subedi S, Sharma MK, Sharma BR, Kansakar I, Dhakwa K, Adhikari RK. Surgical outcome of pars plana vitrectomy: a retrospective Study in a peripher-al tertiary eye care centre of Nepal. Nep J Oph 2010;2(3):39-44
Flynn HW, Chew EY, Simons BD, Barton FB, Remaley NA, Ferris FL. The Early Treatment Diabetic Reti-nopathy Study Research Group. Ophthalmology 1992; 99(9): 1351–1357
Nobrega MJ, Casagrande C, Nunes RP, Nagel G. Indi-cations for pars plana vitrectomy in a tertiary healthcare service in southern Brazil. Invest Ophthal-mol Vis Sci 2004;45: E-Abstract 2007
Spraul CW, Grossniklaus HE. Vitreous hemorrhage. Survey of Ophthalmology. 1997;42(1): 3–39.
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
The authors retain the copyright of their article, with first publication rights granted to Medsci Publications.
