Abstract

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Abstract

title:A STUDY ON INDICATION FOR VITRECTOMY IN TERTIARY CARE HOSPITAL

Author:Dhawal H. Agrawal, Pratik D. Gheewala, Kushnood M. Sheikh, Manisha B. Shastri

Keywords:vitrectomy, Snellen’s chart, intraocular pressure

Type:Original Article

Abstract:Introduction: Pars planavitrectomy is the final step in management of many disease. Taking into consideration usefulness and necessity of Pars planavitrectomy in today’s world we would like to do this study to evaluate the surgical outcome of 20 gauge pars planavitreoretinal surgery. Materials and methods: A hospital-based prospective interventional study of series of 46 patients was carried out in retina clinic of SMIMER, Surat, Gujarat, From July 2012 to November 2014 who underwent vitreo-retina surgeries were reviewed. Demography, duration of symptoms, risk factors and indications, preoperative and post-operative visual acuity, intra-operative and post-operative complications were 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 %.The visual acuity improved to better than 6/60 in 57% patients , whereas, overall, in 86.9 % of the subjects, it improved by 1 lines postoperatively. The commonest intra-operative complications was bleeding intraocularly(4.35%). Conclusion: Useful vision can be restored by pars planavitrectomy in the majority of the patients (p value <0.01). Timing of vitrectomy did not have influence on visual outcome in patients of nuclear drop. Progression of cataract is the commonest complication of TPPV(10.87%). Indications of vitrectomy does not have statistically significant influence on visual outcome after vitrectomy.

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