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Posters

Clinical profile and surgical outcomes of operated cases of PHPV with vitreoretinal intervention

Poster Details

First Author: D.Balakrishnan INDIA

Co Author(s):    S. Jalali   R.K. Pappuru               0   0 0   0 0   0 0   0 0

Abstract Details



Purpose:

To analyze the Clinical profile and surgical outcomes of operated cases of PHPV where a vitreoretinal intervention was required

Setting:

Retina and Pediatric clinic of a tertiary care eye hospital

Methods:

A retrospective chart analysis of patients who underwent surgery with or without lens removal for PHPV between 2000 and 2011 was done. The surgical interventions were lens aspiration, primary posterior capsulotomy (PPC) with limited anterior vitrectomy through anterior route or with or without pars plana lensectomy with vitrectomy or a combination of approaches depending on the anatomic derangement. The factors included age of presentation, laterality, presenting symptoms, initial visual acuity, type of PHPV, type of surgery, complications and final visual acuity. The primary outcome measures analyzed were visual acuity and factors associated with it. Visual acuity of HM or more is considered as ‘useful vision’

Results:

Of 19 patients 17 were unilateral and 2 were bilateral. The presenting complaints were leucocoria (14), squint (2) and decrease in vision (3).16 patients had combined PHPV and 3 had only anterior PHPV. The age at presentation varied from 2 weeks to 9 years. The median age of surgery was 54 weeks and the earliest was 6 weeks. All patients underwent combined vitreo retinal surgery through pars plana route except for 2 who underwent lens aspiration, PPC and anterior vitrectomy. The initial visual acuity varied from blink reflex (BR) to 20/400. 9 patients had some useful vision after surgical intervention. 50% of those who were operated at or less than a year achieved visual acuity of better than 20/1400 while only 2 patients had some useful vision that got operated after a year. 8 patients had visual acuity better than 20/1400 (TAC) following surgery. 9 had PL or less vision. Of these, 6 had retinal detachment preoperatively or intraoperatively noted after lensectomy, one developed RD on follow up after 1 year, one had vitreous haemorrhage and one had disc hypoplasia

Conclusions:

Careful anatomic evaluation provides the surgical strategy in eyes with PHPV. Early proactive approach to correct the anatomic defect has gratifying results. Larger case series and longer follow up of these eyes is needed to have further insights to long term outcomes

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