Comparative evaluation of early vs. deferred vitrectomy in Eales' disease
A Kumar, HK Tiwari, RP Singh… - Acta Ophthalmologica …, 2000 - Wiley Online Library
A Kumar, HK Tiwari, RP Singh, L Verma, N Prasad
Acta Ophthalmologica Scandinavica, 2000•Wiley Online LibraryMethods: 40 cases of vitreous haemorrhage secondary to Eales' disease were taken up for
vitrectomy. Depending upon duration of vitreous haemorrhage patients were divided into
two groups: Group I (20 eyes); early vitrectomy group with duration between 3–6 months;
Group II (20 eyes); deferred vitrectomy group with duration of more than 6 months. All
patients were followed up for a minimum period of 3 months following vitrectomy. Results:
Eyes in Group I showing a preoperative ultrasonic picture of complete posterior vitreous …
vitrectomy. Depending upon duration of vitreous haemorrhage patients were divided into
two groups: Group I (20 eyes); early vitrectomy group with duration between 3–6 months;
Group II (20 eyes); deferred vitrectomy group with duration of more than 6 months. All
patients were followed up for a minimum period of 3 months following vitrectomy. Results:
Eyes in Group I showing a preoperative ultrasonic picture of complete posterior vitreous …
Abstract
Methods: 40 cases of vitreous haemorrhage secondary to Eales' disease were taken up for vitrectomy. Depending upon duration of vitreous haemorrhage patients were divided into two groups: Group I (20 eyes); early vitrectomy group with duration between 3–6 months; Group II (20 eyes); deferred vitrectomy group with duration of more than 6 months. All patients were followed up for a minimum period of 3 months following vitrectomy.
Results: Eyes in Group I showing a preoperative ultrasonic picture of complete posterior vitreous detachment, less mobility of organised vitreous haemorrhage and mid vitreous organisation on kinetic echography achieved a final visual acuity of 6/9 or better in 13 (65%) eyes as compared to 4 (20%) eyes in Group II (p<0.01). Poor visual outcome in the deferred group was secondary to cystoid macular oedema, macular scar, macular pucker formation and macular degeneration.
Conclusion: Improved visual outcome in the early vitrectomy group was probably because the haemorrhagic blood and its toxic products had less time to damage the macula, a lesser incidence of macular traction and cystoid macular oedema.
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