Session Title: Vitreoretinal Surgery III
Session Date/Time: Friday 12/09/2014 | 08:00-10:00
Paper Time: 08:48
Venue: Boulevard E
First Author: : M.El-Ashry UK
Co Author(s): : H. Rehman H. Goh N. Gunn A. Babar M. Costen N.
Purpose: To determine the outcome, quality of life improvement and patient satisfaction following pars plana vitrectomy (PPV) for symptomatic primary or secondary floaters in the NHS.
Settings: Retrospective, nonrandomized, interventional case series of patients who underwent sutureless PPV with either 23G or 25G for primary or secondary floaters in the NHS (UK).
Methods: Forty patients who had symptomatic primary or secondary floaters were included. Data were collected regarding baseline preoperative characteristics, causes of floaters, surgical procedures, type of vitrectomy used, induction of posterior vitreous detachment (PVD), postoperative outcomes, complications and patients’ satisfaction. Health-related functioning and quality of life and patient satisfaction were measured with the National Eye Institute Visual Functioning Questionnaire (NEI -VFQ-25).
Results: Overall, 85% of patients complained of severe or very severe difficulty caused by floaters. Secondary vitreous floaters were due to asteroid hyalosis, uveitis or diabetes (23% of cases). A total of 40% of eyes were operated on with combined PPV and phacoemulsification. Preoperative BCVA remained mostly unchanged. 30% of cases had retinal holes or tears treated at the time of surgery and three patients had postoperative retinal detachment. Vitreous haemorrhage, hyphema and cystoid macular oedema were recorded in 2 patients. Approximately 90% of patients completed a quality-of-life survey, which revealed that 85% were satisfied with the results of the operation and the care they had in the NHS while 94% reported an improvement in their quality of life.
Conclusion: Sutureless pars plana vitrectomy PPV for symptomatic vitreous floaters improved the outcome, patient satisfaction, patients’ quality of life, and resulted in a low rate of postoperative complications. Sutureless PPV should be considered as a viable choice of managing patients with symptomatic primary or secondary vitreous floaters within the NHS.