A case of air pollution-induced Valsalva retinopathy

2021 ◽  
Vol 3 (2) ◽  
pp. 107-112
Author(s):  
Yii Hern Eng ◽  
Ing Hong Lim
Keyword(s):  
Pars Plana Vitrectomy ◽  
Sudden Onset ◽  
Vitreous Haemorrhage ◽  
Medical Illness ◽  
Effective Treatment Option ◽  
Valsalva Retinopathy ◽  
Haze Pollution ◽  
Persistent Cough ◽  
Pars Plana ◽  
Visual Acuity Loss

This is a case of Valsalva retinopathy during the season of annual transboundary haze pollution in Sarawak. A 22-year-old man with no known medical illness developed sudden onset of painless visual acuity loss preceded by persistent cough. Left eye fundus showed dense preretinal haemorrhage covering optic disc extendinginferiorly with breakthrough vitreous haemorrhage. The patient underwent pars plana vitrectomy, endolaser, and fluid gas exchange in view of persistent dense vitreous haemorrhage after a month of conservative management. In conclusion, pars plana vitrectomy can be considered as a safe and effective treatment option for patients with Valsalva retinopathy developing extensive premacular haemorrhage.

Pars plana vitrectomy for valsalva retinopathy: a case series

2012 ◽  
Vol 90 ◽  
pp. 0-0
Author(s):  
M GARCIA FERNANDEZ ◽  
J CASTRO NAVARRO ◽  
C GONZALEZ CASTANO
Keyword(s):  
Pars Plana Vitrectomy ◽  
Case Series ◽  
Valsalva Retinopathy ◽  
Pars Plana

Plaque brachytherapy for choroidal melanoma with vitreous haemorrhage: a therapeutic challenge

2021 ◽  
Vol 14 (4) ◽  
pp. e240935
Author(s):  
Subina Narang ◽  
Awadhesh Kumar Pandey ◽  
Mannat Giran ◽  
Ravinder Kaur
Keyword(s):  
Pars Plana Vitrectomy ◽  
Choroidal Melanoma ◽  
Cataract Extraction ◽  
Posterior Pole ◽  
Vitreous Haemorrhage ◽  
Relative Afferent Pupillary Defect ◽  
Contrast Enhanced ◽  
Pars Plana ◽  
Definitive Management ◽  
Plaque Brachytherapy

A 47-year-old man presented with profound loss of vision in right eye and relative afferent pupillary defect. On fundus examination, posterior pole details were obscured due to dense vitreous haemorrhage. B-scan ultrasonography was performed that revealed a mushroom-shaped hyperechoic lesion with medium internal reflectivity on A-scan ultrasonography. After performing contrast-enhanced MRI of the orbit, a diagnosis of choroidal melanoma was established. Patient was managed using plaque brachytherapy based on multiplanar MRI. This was followed 10 months later by pars plana vitrectomy and cataract extraction. Vision postoperatively improved to 20/60. A systematic clinical assessment along with supportive ancillary investigations augments diagnostic accuracy and reduces delay in definitive management.

Long-term Results of Pars Plana Vitrectomy and Silicone Oil for Complications of Diabetic Retinopathy

1994 ◽  
Vol 4 (1) ◽  
pp. 52-58 ◽  
Author(s):  
I. Karel ◽  
B. Kalvodová
Keyword(s):  
Diabetic Retinopathy ◽  
Pars Plana Vitrectomy ◽  
Silicone Oil ◽  
Posterior Pole ◽  
Vitreous Haemorrhage ◽  
Long Term Results ◽  
Diabetic Patients ◽  
Pars Plana

Pars plana vitrectomy (PPV) with silicone oil implantation (SOI) was performed for advanced proliferative diabetic retinopathy (PDR) in 110 eyes of 98 diabetic patients. In, 77 eyes (70%) it was a primary SOI as part of the initial operation; in 33 eyes (30%) it was a secondary SOI in reoperations. Indications for SOI were traction retinal detachment of the posterior pole, combined traction and rhegmatogenous detachment, vitreous haemorrhage with florid vascularised fibrous proliferations, and recurrent vitreous haemorrhage after PPV. The patients were followed up for 24 to 72 months, with a mean of 53 months. At the end of follow-up, anatomical success was achieved in 63 eyes (57%), and functional success with visual acuity 0.01 and better in 35 eyes (32%). Functional failures were caused by retinal redetachment in 47 eyes (43%), by secondary glaucoma in 10 eyes (9%), retinal ischemia in 15 eyes (13%) and keratopathy in three eyes (3%). The functional success rate decreased with follow-up from 67% after six months to 50% by 60 months after SOI. Silicone oil bubble in the anterior chamber, rubeosis iridis, cataract, and glaucoma were the most frequent postoperative complications. PPV with SOI was highly effective in many serious complications of advanced PDR. Functional success was mostly lasting and markedly improved the quality of life of these patients.

Surgical outcome of pars plana vitrectomy: a retrospective study in a peripheral tertiary eye care centre of Nepal

1970 ◽  
Vol 2 (1) ◽  
pp. 39-44
Author(s):  
S Subedi ◽  
MK Sharma ◽  
BR Sharma ◽  
I Kansakar ◽  
K Dhakwa ◽  
...  
Keyword(s):  
Visual Acuity ◽  
Surgical Outcome ◽  
Pars Plana Vitrectomy ◽  
Case Series ◽  
Vitreous Haemorrhage ◽  
Retinal Break ◽  
Duration Of Symptoms ◽  
Main Indication ◽  
Operative Complications ◽  
Pars Plana

Back ground: Trans-pars plana vitrectomy (TPPV) is an effective surgical procedure to retain the useful vision in vitreoretinal diseases. Objective: To evaluate the surgical outcome of pars plana vitreoretinal surgery. Study design: Retrospective non-comparative interventional case series. Materials and methods: A hospital-based retrospective interventional study of series of cases was carried out in retina clinic of Lumbini Eye Institute, Nepal, over a period of one-and-a-half years. Records of 64 patients who underwent vitreo-retina surgeries were reviewed. Demography, duration of symptoms, risk factors and indications, preoperative and post-operative visual acuity, intra-operative and post-operative complications were analyzed. Outcome measurement: The parameters studied were post-operative visual acuity and complications. Results: Of 64 patients, 61 % presented 2 months after the onset of symptoms. Preoperatively, 65.5 % had visual acuity of hand motions to 3/60 followed by perception of light only in 26.6 %.The main indication for TPPV was vitreous haemorrhage (VH), in 53 %. The visual acuity improved to better than 6/60 in patients with VH (68 %), whereas, overall, in 72 % of the subjects, it improved by 2 lines postoperatively. The commonest intra-operative complications were iatrogenic retinal break (5, 7.8%) at the sclerostomy site. Conclusion: The main indication for TPPV is vitreous haemorrhage. Useful vision can be restored by pars plana vitrectomy in the majority of the patients. Retinal break is the commonest complication of TPPV. Keywords: Trans-pars plana vitrectomy; vitreous haemorrhage; visual outcome; retinal break. DOI: 10.3126/nepjoph.v2i1.3703 Nep J Oph 2010;2(1) 39-44

Bilateral Pars Plana Vitrectomy for Vitreous Opacities and Epiretinal Membrane in Gaucher Disease

2018 ◽  
Vol 2 (4) ◽  
pp. 235-239 ◽  
Author(s):  
Philip P. Storey ◽  
Jeffrey J. Tan ◽  
Nadim Rayess ◽  
Narsing Rao
Keyword(s):  
Epiretinal Membrane ◽  
Pars Plana Vitrectomy ◽  
Gaucher Disease ◽  
Internal Limiting Membrane ◽  
Effective Treatment Option ◽  
Epiretinal Membranes ◽  
Successful Resolution ◽  
Vitreous Opacities ◽  
Pars Plana ◽  
Lipid Storage Disorder

Purpose: To describe the clinical course of a patient with Gaucher disease, a rare lipid storage disorder, who presented with bilateral visually striking vitreous opacities and epiretinal membranes. Methods: Case report. Results: Pars plana vitrectomy and membrane peel were sequentially performed in both eyes with successful resolution of the opacities and macular puckers, although in one eye, the internal limiting membrane was not initially peeled, and a second surgery was required when the epiretinal membrane rapidly returned. Eight months after surgery, visual acuity improved from 20/150 bilaterally to 20/40 and 20/50 without recurrence of vitreous opacities. Conclusions: Pars plana vitrectomy with membrane peel for patients with vitreous opacities and epiretinal membranes in the setting of Gaucher disease can be an effective treatment option.

scholarly journals Vitreous haemorrhage caused by unusual giant macular tear: a case report

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095949
Author(s):  
Chunling Lei ◽  
Li Chen
Keyword(s):  
Retinal Vein Occlusion ◽  
Branch Retinal Vein Occlusion ◽  
Pars Plana Vitrectomy ◽  
Vision Loss ◽  
Silicone Oil ◽  
Vitreous Haemorrhage ◽  
Partial Restoration ◽  
Vein Occlusion ◽  
Pars Plana ◽  
The Right

Macular tears rarely occur without trauma. Here, we describe a patient with vitreous haemorrhage, which was caused by an unusual giant macular tear secondary to existing branch retinal vein occlusion. A 60-year-old woman presented with vision loss in the right eye because of vitreous haemorrhage. She had a history of branch retinal vein occlusion and had been treated with retinal photocoagulation 3 years prior. As treatment for vitreous haemorrhage, the patient underwent 23-gauge pars plana vitrectomy combined with silicone oil tamponade. During the operation, a large jagged tear was observed in the macula. We presumed that stretching of the fibrous proliferating membrane secondary to branch retinal vein occlusion was responsible for the macular tear and vitreous haemorrhage. Eventually, the results of pars plana vitrectomy led to anatomical closure of the macular tear and partial restoration of visual acuity.

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