AI Article Synopsis
- The study aimed to report the outcomes of endoscopy-assisted vitrectomy (EAV) in patients suffering from chronic hypotony due to severe eye trauma or previous vitrectomy procedures.
- A total of seven male patients (mean age 45) underwent EAV, with various surgical techniques applied, and their intraocular pressure (IOP) and best-corrected visual acuity (BCVA) were measured before and after the surgery.
- Results showed a significant improvement in IOP and BCVA in most patients, suggesting that endoscopy is a promising technique for managing chronic hypotony after eye trauma.
Article Abstract
Aim: To report outcomes of endoscopy-assisted vitrectomy (EAV) in patients with chronic hypotony following severe ocular trauma or vitrectomy.
Methods: This was a retrospective, noncomparative case series. Ciliary bodies were evaluated using ultrasound biomicroscopy pre-operatively and direct visualisation intraoperatively. All selected individuals (seven patients/seven eyes) underwent EAV. Removal of ciliary membrane and traction, gas/silicone oil tamponade (GT/SOT), and scleral buckling (SB) were performed in selected eyes. Outcome measurements mainly included intraocular pressure (IOP) and best-corrected visual acuity (BCVA).
Results: Seven eyes from 7 male aphakic patients with a mean age of 45 (range, 20-68)y were included in this study; the average follow-up time was 12 (9-15)mo. GT was performed in 2 eyes; membrane peeling (MP) and SOT in 2 eyes; and MP, SOT, and SB in 3 eyes. The mean pre- and post-operative IOP were 4.5 (range, 4.0±0.11 to 4.8±0.2) mm Hg and 9.9 (range, 5.6±0.17 to 12.1±0.2) mm Hg at 52wk (12mo), respectively. BCVA improved in six eyes; one eye still showed light perception, and no bulbi phthisis was observed.
Conclusion: Endoscopy offers improved judgment and recognition and has an improved prognosis for chronic hypotony. Therefore, endoscopy can be an effective and promising operative technique for chronic traumatic hypotony management.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10250934 | PMC |
| http://dx.doi.org/10.18240/ijo.2023.06.18 | DOI Listing |
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