Table of Contents - WOC 2012

PO-RET-200
23 Gauge Pars Plana Vitrectomy For The Treatment Of Idiopathic
Macular Hole
Akkan Fevzi (1) , Altan TuÄŸrul (1) , Uyar Murat (1) , Do?an Mustafa (1) , Eltutar
Kadir (1)
1. Istanbul Education and Research Hospital
Purpose: To evaluate anatomic and visual outcomes of the patients who had
been performed 23 gauge pars plana vitrectomy (PPV) with grade II- IV
idiopathic macular hole
Methods: A retrospective study with 60 eyes of 55 patients which have been
diagnosed as a idiopathic macular hole and have been performed 23 gauge
PPV was included. All eyes underwent a pars plana vitrectomy, including
seperation of posterior hyaloid and peeling of internal limiting membrane ( ILM
). C3F8 gas has been used in all of eyes.
Results: The mean age of patients was 62 ± 8.1. 13 eyes (21.6 % ) had stage
II, 29 eyes ( 48.4%) had stage III, 18 eyes ( %30 ) had stage IV macular holes.
The anatomical success was reached in 48 eyes (80 %). There was 38 eyes
(63.3% ) with visual improvement, 19 eyes(31.6%) with no difference and 3
eyes (5%) with visual impairment.
Conclusion: 23gauge PPV with removal of internal limiting membrane for stage
II- IV idiopathic macular hole surgery has a good anatomic closure and good
visual outcomes.
PO-RET-201
Eales Disease: a case report
Fialho Rui (1) , Braz Filipe (1) , Quintão Teresa (1) , Ornelas Conceição (1)
1. Institute of Ophthalmology Dr. Gama Pinto
Purpose: Eales disease is an idiopathic, occlusive periphlebitis affecting
peripheral retina in young men, leading to retinal nonperfusion and
neovascularisation, with subsequent vitreous haemorrhage (VH), and tractional
complications. Some cases require vitreoretinal surgery for VH and tractional
complications; surgical results have been variable in the published literature.
Methods: A 35 year old man, healthy, Indian offspring, refer progressive
lowering of the visual acuity (VA) of right eye (RE) for 2 years. He consulted
several doctors and several tests were performed. Not found a diagnosis.
He did topical and systemic corticosteroids, with slight improvement that
subsequently regressed. Recently the patient was refered to our institution.
We detected a positive anti-nuclear antibody positive, only. Visual acuity (VA)
in the RE: hand motion. VA in the LE: 10/10 Anterior segment unchanged.
Fundoscopy showing VH in the RE. LE without changes. We did lensectomy,
pars plana vitrectomy 25G and endolaser in the RE.
Results: Postoperative we observe regression on the peripheral
neovascularization and peripheral vascular sheating associated with peripheral
capillary non-perfusion. Corrected VA in the RE was 4/10.
Conclusions: Eales disease is an exclusion diagnostic. Result of vitrectomy in
nonresolving vitreous hemorrhage is satisfactory.
WOC2012 Abstract Book
PO-RET-202
Intraocular pressure on the first postoperative day after vitreoretinal
surgery
Chalioulias Konstantinos (1) , Panagopoulos Andreas (2) , Price Nick (1)
1. Wolverhampton Eye Infirmary
2. Western Eye Hospital
Purpose: To determine the rate of increased intraocular pressure on the first
postoperative day and identify potential risk factors. Methods Prospective
observational clinical study. We reviewed patients that underwent vitreoretinal
surgery by a single Consultant or under his direct supervision, during the first
postoperative day. We recorded the following data: age, clinical diagnosis,
type of surgery, principal surgeon, preoperative and postoperative IOP,
intraoperative and postoperative complications.
Results: The average age of the patients involved was 69.09 years The
average preoperative IOP was 18.6 mm of Hg, ranging from 8 to 50mm of Hg
and the average postop IOP was 22.31mm of Hg, with a range of 6 to 56mm of
Hg. 12 cases had an IOP greater than 21mm of Hg and 6 cases (17.8%) equal
to or greater than 30mm of Hg. Of those 6 cases 4 had internal tamponade
(33% of all cases with tamponade) and 2 did not (10% of all cases without
tamponade).
Conclusion: The use of tamponade agents may have an impact on postoperative
IOP (t-ratio 1.19 0.12