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Free Content Comparative evaluation of early vs. deferred vitrectomy in Eales' Disease

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Abstract:

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.

Keywords: Eales' disease; cystoid macular oedema; macular pucker; vitrectomy; vitreous haemorrhage

Document Type: Original Article

Affiliations: Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences. New Delhi, India

Publication date: February 1, 2000

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