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Article: Early vitrectomy for fundus-obscuring dense vitreous haemorrhage from presumptive retinal tears

TitleEarly vitrectomy for fundus-obscuring dense vitreous haemorrhage from presumptive retinal tears
Authors
KeywordsEarly vitrectomy
Retinal tears
Vitreous haemorrhage
Issue Date2007
PublisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00417/index.htm
Citation
Graefe's Archive For Clinical And Experimental Ophthalmology, 2007, v. 245 n. 2, p. 301-304 How to Cite?
AbstractBackground: Published literature on the management of patients with fundus-obscuring dense vitreous haemorrhage due to presumptive retinal tears is sparse and advocates waiting for spontaneous resolution. Surgery is indicated only when a definite retinal tear or retinal detachment is identified. Methods: A retrospective review of all patients who underwent early vitrectomy for vitreous haemorrhage associated with posterior vitreous detachment was carried out. A comparison of initial visual acuity versus final visual acuity after vitrectomy was performed. The number of eyes that were found to have retinal tears and retinal detachment were documented. Initial and final Snellen acuities were used for statistical analysis. Categorical data were analysed using Fisher's exact test and statistical significance was considered to be p<0.05. Results: Sixteen eyes were identified and all these patients presented or were referred soon after the onset of vitreous haemorrhage. Associated ocular pathology (choroidal neovascular membrane, retinal branch vein occlusion, macroaneurysm) was suspected to be the source of the haemorrhage in 4 eyes. Vitrectomy was carried out in 12 eyes soon after presentation (mean time 6.3 days, range 1-28 days). Nineteen retinal breaks were seen in these eyes and 5 eyes had more than two breaks. None of the eyes were found to have proliferative vitreo-retinopathy at the time of surgery. Two eyes needed repeat surgery for new retinal breaks. Excluding the eyes found to have an ocular pathology as the cause of vitreous haemorrhage, the mean visual acuity improved from hand movements to 6/12 (p<0.001). Conclusions: Early vitrectomy for spontaneous dense fundus-obscuring vitreous haemorrhage and posterior vitreous detachment is safe. Since the number of patients in this study was small, a prospective randomised controlled study comparing early versus late vitrectomy is needed to see whether early surgery also prevents proliferative vitreoretinopathy formation. © Springer-Verlag 2006.
Persistent Identifierhttp://hdl.handle.net/10722/90385
ISSN
2015 Impact Factor: 1.991
2015 SCImago Journal Rankings: 1.217
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorDhingra, Nen_HK
dc.contributor.authorPearce, Ien_HK
dc.contributor.authorWong, Den_HK
dc.date.accessioned2010-09-06T10:09:38Z-
dc.date.available2010-09-06T10:09:38Z-
dc.date.issued2007en_HK
dc.identifier.citationGraefe's Archive For Clinical And Experimental Ophthalmology, 2007, v. 245 n. 2, p. 301-304en_HK
dc.identifier.issn0721-832Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/90385-
dc.description.abstractBackground: Published literature on the management of patients with fundus-obscuring dense vitreous haemorrhage due to presumptive retinal tears is sparse and advocates waiting for spontaneous resolution. Surgery is indicated only when a definite retinal tear or retinal detachment is identified. Methods: A retrospective review of all patients who underwent early vitrectomy for vitreous haemorrhage associated with posterior vitreous detachment was carried out. A comparison of initial visual acuity versus final visual acuity after vitrectomy was performed. The number of eyes that were found to have retinal tears and retinal detachment were documented. Initial and final Snellen acuities were used for statistical analysis. Categorical data were analysed using Fisher's exact test and statistical significance was considered to be p<0.05. Results: Sixteen eyes were identified and all these patients presented or were referred soon after the onset of vitreous haemorrhage. Associated ocular pathology (choroidal neovascular membrane, retinal branch vein occlusion, macroaneurysm) was suspected to be the source of the haemorrhage in 4 eyes. Vitrectomy was carried out in 12 eyes soon after presentation (mean time 6.3 days, range 1-28 days). Nineteen retinal breaks were seen in these eyes and 5 eyes had more than two breaks. None of the eyes were found to have proliferative vitreo-retinopathy at the time of surgery. Two eyes needed repeat surgery for new retinal breaks. Excluding the eyes found to have an ocular pathology as the cause of vitreous haemorrhage, the mean visual acuity improved from hand movements to 6/12 (p<0.001). Conclusions: Early vitrectomy for spontaneous dense fundus-obscuring vitreous haemorrhage and posterior vitreous detachment is safe. Since the number of patients in this study was small, a prospective randomised controlled study comparing early versus late vitrectomy is needed to see whether early surgery also prevents proliferative vitreoretinopathy formation. © Springer-Verlag 2006.en_HK
dc.languageengen_HK
dc.publisherSpringer Verlag. The Journal's web site is located at http://link.springer.de/link/service/journals/00417/index.htmen_HK
dc.relation.ispartofGraefe's Archive for Clinical and Experimental Ophthalmologyen_HK
dc.subjectEarly vitrectomyen_HK
dc.subjectRetinal tearsen_HK
dc.subjectVitreous haemorrhageen_HK
dc.subject.meshRetinal Perforations - complications - surgery-
dc.subject.meshVitrectomy-
dc.subject.meshVitreous Hemorrhage - etiology - surgery-
dc.subject.meshAged, 80 and over-
dc.subject.meshCryosurgery-
dc.titleEarly vitrectomy for fundus-obscuring dense vitreous haemorrhage from presumptive retinal tearsen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0721-832X&volume=245&issue=2&spage=301&epage=304&date=2007&atitle=Early+vitrectomy+for+fundus-obscuring+dense+vitreous+haemorrhage+from+presumptive+retinal+tears.en_HK
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00417-006-0278-6en_HK
dc.identifier.pmid16802133-
dc.identifier.scopuseid_2-s2.0-33847135251en_HK
dc.identifier.hkuros153082en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33847135251&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume245en_HK
dc.identifier.issue2en_HK
dc.identifier.spage301en_HK
dc.identifier.epage304en_HK
dc.identifier.isiWOS:000244295200017-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridDhingra, N=7003766102en_HK
dc.identifier.scopusauthoridPearce, I=35345778700en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK
dc.identifier.citeulike1159093-

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