Clinical outcomes of pars plicata anterior vitrectomy: 2-year results
Identifieur interne : 000A54 ( Main/Curation ); précédent : 000A53; suivant : 000A55Clinical outcomes of pars plicata anterior vitrectomy: 2-year results
Auteurs : Priya Narang [Inde] ; Amar Agarwal [Inde]Source :
- Indian Journal of Ophthalmology [ 0301-4738 ] ; 2015.
Abstract
To demonstrate the safety and outcome of a surgical approach that uses pars plicata site for anterior vitrectomy during phacoemulsification procedure complicated by posterior capsule rupture and residual cortical matter.
Single center, retrospective, interventional, noncomparative study.
Medical records of a consecutive series of 35 eyes of 35 patients who underwent pars plicata anterior vitrectomy (PPAV) were reviewed. The main outcome measures were corrected and uncorrected distance visual acuity (CDVA, UDVA), early and late postoperative complications and intraocular pressure (IOP). Ultrasound biomicroscopic (UBM) evaluation of sclerotomy site and spectral domain optical coherence tomography analysis for central macular thickness (CMT) was performed. The final visual outcome at 2 years was evaluated.
At 2 years follow-up, the mean postoperative UDVA (logarithm of the minimum angle of resolution [logMAR]) and CDVA (logMAR) was 0.49 ± 0.26 and 0.19 ± 0.14, respectively. There was no significant change in the IOP (
PPAV enables a closed chamber approach, allows thorough cleanup of vitreous in the pupillary plane and anterior chamber and affords better access to the subincisional and retropupillary cortical remnant with a significant visual outcome and an acceptable complication rate.
Url:
DOI: 10.4103/0301-4738.170976
PubMed: 26632124
PubMed Central: 4705704
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Clinical outcomes of pars plicata anterior vitrectomy: 2-year results</title><author><name sortKey="Narang, Priya" sort="Narang, Priya" uniqKey="Narang P" first="Priya" last="Narang">Priya Narang</name><affiliation wicri:level="1"><nlm:aff id="aff1">Narang Eye Care and Laser Centre, Ahmedabad, Gujarat, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Narang Eye Care and Laser Centre, Ahmedabad, Gujarat</wicri:regionArea><wicri:noRegion>Gujarat</wicri:noRegion></affiliation></author><author><name sortKey="Agarwal, Amar" sort="Agarwal, Amar" uniqKey="Agarwal A" first="Amar" last="Agarwal">Amar Agarwal</name><affiliation wicri:level="1"><nlm:aff id="aff2">Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">26632124</idno><idno type="pmc">4705704</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4705704</idno><idno type="RBID">PMC:4705704</idno><idno type="doi">10.4103/0301-4738.170976</idno><date when="2015">2015</date><idno type="wicri:Area/Pmc/Corpus">000230</idno><idno type="wicri:Area/Pmc/Curation">000230</idno><idno type="wicri:Area/Pmc/Checkpoint">000700</idno><idno type="wicri:Area/Ncbi/Merge">003E06</idno><idno type="wicri:Area/Ncbi/Curation">003E06</idno><idno type="wicri:Area/Ncbi/Checkpoint">003E06</idno><idno type="wicri:doubleKey">0301-4738:2015:Narang P:clinical:outcomes:of</idno><idno type="wicri:Area/Main/Merge">000A54</idno><idno type="wicri:Area/Main/Curation">000A54</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Clinical outcomes of pars plicata anterior vitrectomy: 2-year results</title><author><name sortKey="Narang, Priya" sort="Narang, Priya" uniqKey="Narang P" first="Priya" last="Narang">Priya Narang</name><affiliation wicri:level="1"><nlm:aff id="aff1">Narang Eye Care and Laser Centre, Ahmedabad, Gujarat, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Narang Eye Care and Laser Centre, Ahmedabad, Gujarat</wicri:regionArea><wicri:noRegion>Gujarat</wicri:noRegion></affiliation></author><author><name sortKey="Agarwal, Amar" sort="Agarwal, Amar" uniqKey="Agarwal A" first="Amar" last="Agarwal">Amar Agarwal</name><affiliation wicri:level="1"><nlm:aff id="aff2">Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Dr. Agarwal's Eye Hospital and Eye Research Centre, Chennai, Tamil Nadu</wicri:regionArea><wicri:noRegion>Tamil Nadu</wicri:noRegion></affiliation></author></analytic><series><title level="j">Indian Journal of Ophthalmology</title><idno type="ISSN">0301-4738</idno><idno type="eISSN">1998-3689</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="st1"><title>Purpose:</title><p>To demonstrate the safety and outcome of a surgical approach that uses pars plicata site for anterior vitrectomy during phacoemulsification procedure complicated by posterior capsule rupture and residual cortical matter.</p></sec><sec id="st2"><title>Design:</title><p>Single center, retrospective, interventional, noncomparative study.</p></sec><sec id="st3"><title>Materials and Methods:</title><p>Medical records of a consecutive series of 35 eyes of 35 patients who underwent pars plicata anterior vitrectomy (PPAV) were reviewed. The main outcome measures were corrected and uncorrected distance visual acuity (CDVA, UDVA), early and late postoperative complications and intraocular pressure (IOP). Ultrasound biomicroscopic (UBM) evaluation of sclerotomy site and spectral domain optical coherence tomography analysis for central macular thickness (CMT) was performed. The final visual outcome at 2 years was evaluated.</p></sec><sec id="st4"><title>Results:</title><p>At 2 years follow-up, the mean postoperative UDVA (logarithm of the minimum angle of resolution [logMAR]) and CDVA (logMAR) was 0.49 ± 0.26 and 0.19 ± 0.14, respectively. There was no significant change in the IOP (<italic>P</italic> = 0.061) and the mean CMT at 2 years was 192.5 ± 5.54 μm. The postoperative UBM image of the sclerotomy site at 8 weeks demonstrated a clear wound without any vitreous adhesion or incarceration. Intraoperative hyphema was seen in 1 (2.8%) case and postoperative uveitis was seen in 2 (5.7%) cases, which resolved with medications. No case of an iatrogenic retinal break or retinal detachment was reported.</p></sec><sec id="st5"><title>Conclusions:</title><p>PPAV enables a closed chamber approach, allows thorough cleanup of vitreous in the pupillary plane and anterior chamber and affords better access to the subincisional and retropupillary cortical remnant with a significant visual outcome and an acceptable complication rate.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Faulborn, J" uniqKey="Faulborn J">J Faulborn</name></author><author><name sortKey="Conway, Bp" uniqKey="Conway B">BP Conway</name></author><author><name sortKey="Machemer, R" uniqKey="Machemer R">R Machemer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Machemer, R" uniqKey="Machemer R">R Machemer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Gonzales, Cr" uniqKey="Gonzales C">CR Gonzales</name></author><author><name sortKey="Boshra, J" uniqKey="Boshra J">J Boshra</name></author><author><name sortKey="Schwartz, Sd" uniqKey="Schwartz S">SD Schwartz</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Kumar, Da" uniqKey="Kumar D">DA Kumar</name></author><author><name sortKey="Jacob, S" uniqKey="Jacob S">S Jacob</name></author><author><name sortKey="Baid, C" uniqKey="Baid C">C Baid</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Srinivasan, S" uniqKey="Srinivasan S">S Srinivasan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, Da" uniqKey="Kumar D">DA Kumar</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Streeten, Bw" uniqKey="Streeten B">BW Streeten</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lyons, Cj" uniqKey="Lyons C">CJ Lyons</name></author><author><name sortKey="Steele, Ad" uniqKey="Steele A">AD Steele</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Er, H" uniqKey="Er H">H Er</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aaberg, Tm" uniqKey="Aaberg T">TM Aaberg</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ramkissoon, Yd" uniqKey="Ramkissoon Y">YD Ramkissoon</name></author><author><name sortKey="Aslam, Sa" uniqKey="Aslam S">SA Aslam</name></author><author><name sortKey="Shah, Sp" uniqKey="Shah S">SP Shah</name></author><author><name sortKey="Wong, Sc" uniqKey="Wong S">SC Wong</name></author><author><name sortKey="Sullivan, Pm" uniqKey="Sullivan P">PM Sullivan</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chang, Df" uniqKey="Chang D">DF Chang</name></author><author><name sortKey="Packard, Rb" uniqKey="Packard R">RB Packard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kumar, Da" uniqKey="Kumar D">DA Kumar</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Prakash, G" uniqKey="Prakash G">G Prakash</name></author><author><name sortKey="Jacob, S" uniqKey="Jacob S">S Jacob</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Sivagnanam, S" uniqKey="Sivagnanam S">S Sivagnanam</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Narang, P" uniqKey="Narang P">P Narang</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Kumar, Da" uniqKey="Kumar D">DA Kumar</name></author><author><name sortKey="Jacob, S" uniqKey="Jacob S">S Jacob</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author><author><name sortKey="Agarwal, A" uniqKey="Agarwal A">A Agarwal</name></author></analytic></biblStruct></listBibl></div1></back></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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