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Endoscopic vitreoretinal: surgeries – indications, outcomes and complications

Session Details

Session Title: Vitreoretinal Surgery IV

Session Date/Time: Sunday 20/09/2015 | 09:00-10:30

Paper Time: 10:04

Venue: Thalie.

First Author: : R.Reddy Pappuru INDIA

Co Author(s): :    M. Tyagi   R. Sarangi   V. Sangwan   R. Narayanan     

Abstract Details

PURPOSE:To evaluate the indications for endoscopic surgeries and to document the complications and our experiences in cases of endoscopic vitrectomies

Setting:

Endoscopic vitrectomies done in a tertiary care eye hospital in South India

Methods:

Retrospective, non-comparative chart review of 30 eyes of 30 (consecutive) patients undergoing endoscopic intervention for varied indications at a tertiary care centre in India from January 2014 to December, 2014. All eyes were operated using a standard 3 port approach using the E2 Laser and Endoscopic system ( EndoOptiks) with a 19.5 G probe

Results:

Thirty eyes of thirty patients who underwent endoscopic surgeries were evaluated. Majority of the patients were males (M: F :: 23:7) with the average age of 35.3 years( range 6-64 years). The various indications for endoscopic vitrectomy included Steven Johnson Syndrome sequelae (8), chemical injury sequelae (5), failed corneal graft (5), trauma (3), microbial keratitis (3), vitreo-retinal surgery complications (2) and others like thermal injury , eyes with keratoprosthesis and post operative endophthalmitis . Diagnostic endoscopy was performed in the majority of patients followed by membranectomy and vitreo-retinal surgery if required. Two patients required endocyclophotocoagulation in view of pre-existing glaucoma. The main intraoperative complications, which were noted in 6 patients were subretinal cannula placement (2 cases), haemorrhage (2cases), iatrogenic retinal breaks (2 cases).Factors associated with poor visual outcomes were preexisting glaucomatous optic atrophy ( 4 cases) optic atrophy (5 cases), extensive PVR changes or closed funnel retinal detachments (5cases) Post operative complications that often affected the improvement in visual acuity was recurrence of retro-prostehtic membranes in Keratoprosthesis patients and recurrent retinal detachments( 5 cases)

Conclusions:

Endoscopy is a new and promising armamentarium, providing a chance for intervention better visualisation in cases where an anterior segment or corneal opacity prevents visualization through conventional viewing systems.It is a new ray of hope for eyes deemed despondent

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