Sub-internal Limiting Membrane Haemorrhage Treated by Pars Plana Vitrectomy
Authors:
V. Krásnik; J. Štefaničková; P. Strmeň; P. Kusenda
Authors‘ workplace:
Klinika Oftalmológie LF UK a UN, Bratislava, prednosta doc. MUDr. Vladimír Krásnik, PhD.
Published in:
Čes. a slov. Oftal., 68, 2012, No. 4, p. 135-139
Category:
Case Report
Overview
Purpose:
A retrospective study of anatomical and functional results of haemorrhages sub-internal limiting membrane treated by pars plana vitrectomy with internal limiting membrane peeling.
Materials and methods:
The studied group consists of 6 patients – 6 eyes with acute bleeding under internal limiting membrane at the age of 18–59 years (mean age 37,3 years). The group was ethiopathogenetically various: 1x sarcoidosis, 1x cocaine abuse, 1x alcoholic and drug-induced hepatopathy, 1x morbus von Willebrand, 1x branch retinal vein occlusion combined with macroaneuryzm, 1x unknown cause – idiopathic. Best corrected visual acuity (BCVA) was hand motion in 3 of the eyes, counting fingers at 30 cm, 20/200 or 20/63 in the other 3 eyes. After a complete ophthalmologic examination including fluorescein angiography and optical coherence tomography a 23-gauge sutureless pars plana vitrectomy with internal limiting membrane peeling was performed in all patients. The follow-up period was 3–36 months (mean follow-up 18.3 months).
Results:
In all 6 patients (6 eyes) an important improvement of visual functions was observed within 2–3 days after the surgery with a corresponding improvement of anatomical ophthalmoscopic findings and findings on optical coherence tomography. The BCVA at the last examination was 20/20 in 3 eyes, 20/32 in 2 eyes and 20/25 in 1 eye. We did not experience any complications like retinal tear, retinal detachment, endophthalmitis or relapse of bleeding neither during the surgery nor during the follow-up period.
Conclusion:
Sub-internal limiting membrane haemorrhage affect younger patients in working-age population. These patients need rapid visual recovery. Surgical treatment of sub-internal limiting membrane haemorrhages by pars plana vitrectomy with internal limiting membrane peeling is a safe and effective method, which facilitates a quick return to patients` previous working activities and social standard.
Key words:
pars plana vitrectomy, internal limiting membrane peeling, sub-internal limiting membrane haemorrhages
Sources
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OphthalmologyArticle was published in
Czech and Slovak Ophthalmology
2012 Issue 4
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