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OUTCOME OF ACUTE NONTRAUMATIC VITREOUS HEMORRHAGE IN HEALTHY PATIENTS.
- Source :
-
Retina (Philadelphia, Pa.) [Retina] 2020 Jan; Vol. 40 (1), pp. 87-91. - Publication Year :
- 2020
-
Abstract
- Purpose: To compare outcomes in dense vitreous hemorrhage versus mild vitreous hemorrhage due to nontraumatic posterior vitreous detachment.<br />Methods: We compared 315 eyes, divided into 2 patient groups, one with dense and the other with mild vitreous hemorrhage. The main outcome measures were final mean best-corrected visual acuity, number of retinal tears, number of retinal detachments, and the number of pars plana vitrectomy and/or scleral buckle surgeries.<br />Results: In 33.4% of the patients, posterior vitreous detachment without complications was found. Retinal breaks after posterior vitreous detachment were found in 59% of the eyes. Rhegmatogenous retinal detachment was principally treated with pars plana vitrectomy and scleral buckle. In nonvisible fundus hemorrhage group, 44.4% of the patients underwent vitrectomy. In visible fundus hemorrhage group, 9.52% of the patients underwent pars plana vitrectomy. The mean final visual acuity was 20/25, without significant difference between groups (P = 0.064).<br />Conclusion: Acute, spontaneous, nontraumatic posterior vitreous separation with vitreous hemorrhage is associated with a high incidence of retinal complications. Close follow-up is necessary. We did not find significant differences in final visual acuity neither between the two groups nor among the treatments.
- Subjects :
- Acute Disease
Aged
Female
Follow-Up Studies
Humans
Male
Middle Aged
Postoperative Complications
Retinal Perforations physiopathology
Treatment Outcome
Vitreous Detachment complications
Vitreous Detachment physiopathology
Vitreous Hemorrhage etiology
Vitreous Hemorrhage physiopathology
Scleral Buckling
Visual Acuity physiology
Vitrectomy
Vitreous Detachment surgery
Vitreous Hemorrhage surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1539-2864
- Volume :
- 40
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Retina (Philadelphia, Pa.)
- Publication Type :
- Academic Journal
- Accession number :
- 30300268
- Full Text :
- https://doi.org/10.1097/IAE.0000000000002338