VITRECTOMY IS SUCCESSFUL IN RESTORING EYE SIGHT: AN INTERVENTIONAL STUDY IN TERTIARY CARE HOSPITAL

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.
Methodology: 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 vitreoretina
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.