Ghali, A., Elkareem, A., Al-Taher, M. (2019). Visual Outcome of Pars Plana Vitrectomy for Treatment of Premacular Hemorrhage. The Egyptian Journal of Hospital Medicine, 75(5), 2769-2774. doi: 10.21608/ejhm.2019.32974
Ali A Ghali; Ashraf M Gad Elkareem; Mohamed AA Al-Taher. "Visual Outcome of Pars Plana Vitrectomy for Treatment of Premacular Hemorrhage". The Egyptian Journal of Hospital Medicine, 75, 5, 2019, 2769-2774. doi: 10.21608/ejhm.2019.32974
Ghali, A., Elkareem, A., Al-Taher, M. (2019). 'Visual Outcome of Pars Plana Vitrectomy for Treatment of Premacular Hemorrhage', The Egyptian Journal of Hospital Medicine, 75(5), pp. 2769-2774. doi: 10.21608/ejhm.2019.32974
Ghali, A., Elkareem, A., Al-Taher, M. Visual Outcome of Pars Plana Vitrectomy for Treatment of Premacular Hemorrhage. The Egyptian Journal of Hospital Medicine, 2019; 75(5): 2769-2774. doi: 10.21608/ejhm.2019.32974
Visual Outcome of Pars Plana Vitrectomy for Treatment of Premacular Hemorrhage
1Ophthalmology department, Faculty of medicine, Al-Azhar University, Damietta, Egypt
2Ophthalmology department, Faculty of medicine, Al-Azhar University, Asyut, Egypt
3Ophthalmology department, Faculty of medicine, Al-Azhar University, Cairo, Egypt
Abstract
Background: premacular hemorrhage can lead to painless loss of central vision. Several modalities of treatment have been described in previous reports. Purpose: to evaluate the visual outcome after pars plan vitrectomy (PPV) for treatment of premacular hemorrhage of different etiology. Patients and methods: A series of retrospective study 17 eyes of 17 patients presented with premacular hemorrhage due to different pathologies. Complete ophthalmic evaluation was done including visual acuity (VA), intraocular pressure (IOP), anterior segment examination, slit lamp biomicroscopy, fundus photography± fluorescein angiography (FA), and ocular ultrasound ± biometry. PPV was performed using 23gauge system with proper tamponade ± Phaco with PCIOL.No intraoperative lens touch or iatrogenic retinal tear has been recorded. Results: BCVA was improved from CF 50 cm in2 cases, hand movement (HM) in 15 cases to 0.1 (Log MAR) in 2 eyes (11.76%), 0.3 in one eye (5.88%), 0.4 in 5 eyes (29.41%), 0.6 in 3 eyes (17.64%), 1.00 in 3 eyes (17.64%), (3/60) in 2 eyes (11.67%), CF (1/60) in one eye (5.88%). No serious complications weredetected. Conclusion: PPV is a beneficial surgical treatment for premacular hemorrhage of different pathologies ensuring rapid visual recovery. The visual outcome is an encouraging and the complications are comparable to other studies.
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