Early vitrectomy for dense vitreous hemorrhage in adults with non-traumatic and non-diabetic retinopathy
T Zhang, J Zhang, X Sun, J Tian… - Journal of …, 2017 - journals.sagepub.com
T Zhang, J Zhang, X Sun, J Tian, W Shi, G Yuan
Journal of International Medical Research, 2017•journals.sagepub.comObjective To evaluate the etiologies for dense vitreous hemorrhage in adults with non-
traumatic and reveal management of early vitrectomy for the disease. Methods Study
included 105 eyes from 105 patients. Outcome measures were etiologies of vitreous
hemorrhage, formation of retinal and/or disk neovascular membrane (NVM), incidence of
retinal tear and detachment, visual acuity (VA) and postoperative complications. Results
Mean time between presentation and surgery was 7.1 days. The most common etiologies …
traumatic and reveal management of early vitrectomy for the disease. Methods Study
included 105 eyes from 105 patients. Outcome measures were etiologies of vitreous
hemorrhage, formation of retinal and/or disk neovascular membrane (NVM), incidence of
retinal tear and detachment, visual acuity (VA) and postoperative complications. Results
Mean time between presentation and surgery was 7.1 days. The most common etiologies …
Objective
To evaluate the etiologies for dense vitreous hemorrhage in adults with non-traumatic and reveal management of early vitrectomy for the disease.
Methods
Study included 105 eyes from 105 patients. Outcome measures were etiologies of vitreous hemorrhage, formation of retinal and/or disk neovascular membrane (NVM), incidence of retinal tear and detachment, visual acuity (VA) and postoperative complications.
Results
Mean time between presentation and surgery was 7.1 days. The most common etiologies were retinal vein occlusion (RVO) (58.1%), retinal tear (22.9%) and retinal vasculitis (10.4%). Most RVO (77.0%) and retinal vasculitis (72.7%) eyes were associated with retinal and/or disk NVM. Retinal tear and retinal detachment was found in 24 and 48 eyes, respectively. VA improved significantly from 1/70 to 0.6 following vitrectomy. The most common postoperative complication was cataract (28.6%).
Conclusion
RVO, retinal tear and retinal vasculitis were the most common causes of dense vitreous hemorrhage. Early vitrectomy has a good outcome with acceptable complication rates in this setting.
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