Comparative Study Of Visual Outcomes Following Corrective Vitrectomy: Non-Traumatic Versus Traumatic Etiologies

Introduction: Nucleus drop is a rare and serious complication. We investigated visual outcomes following corrective surgery, and compared outcomes between surgeries that followed traumatic injuries and those where the etiology was nontraumatic. <div>Method: A retrospective cohort study was performed using information collected from medical records regarding cases of vitrectomy performed for nucleus drop. Patients were grouped into traumatic and non-traumatic cases. After pars plana vitrectomy and nucleus removal with use of a phacofragmatome, all data were collected according to a standard follow-up format. </div><div>Results: Our cohort consisted of 37 eyes of 37 patients. Mean patient age was 58.8+/-9.35, ranging from 31 to 75 years (Table1). Of these cases, 12 (32.4%) were traumatic and 25 (67.6%) followed cataract surgeries. We found that vision in 15 (40.4%) cases improved to more than 6/24 and in 5 (13.5%) it did not improve (>1/60). </div><div>Conclusion: Visual outcome following corrective vitrectomy for nucleus drop may be satisfactory if managed well; no significant difference in outcome was noted based on etiology</div

Epidemiology of Eales Disease in the Central Western India

Objective: To investigate the clinical features and propose a new staging system based on the clinicopathological correlation and formulate new guidelines for management of Eales’ disease in healthy young males. Design: Prospective cohort study. Setting: Vitreo Retinal Department of a tertiary eye care center in Western Central India. Participants: Seventy-four eyes diagnosed with Eales’ disease. Materials and methods: From 2004 to 2010, patients clinically diagnosed with Eales’ disease were enrolled in this study using specific inclusion and exclusion criteria. We examined the patients’ anterior and posterior segments thoroughly. We performed the necessary ocular and systemic investigations. We divided the investigations into three stages: inflammatory, ischemic and complications and the patients were treated accordingly. We treated the patients using medical management, photocoagulation or pars plana vitrectomy. The patients were monitored according to standard schedules and formats. All information was documented using a pre-tested online format and statistical analyses were performed using SPSS ver. 17. A p-value < 0.05 was considered to indicate significance. Outcome measures: Visual acuity. Results: The cohort comprised 74 cases with a mean age of 30 ± 8.73 years. The visual acuity of the presenting cohort was < 3/60 in 64.9% of eyes. The final visual outcome was > 6/12 in 40 eyes (54.1%), 6/60 to 6/18 in 14 eyes (18.9%) and < 1/60 in the remaining 9 eyes at a mean follow-up of 592 days. The visual parameters differed significantly pre-and post-treatment. We evaluated the visual outcome following surgical management. Conclusion: We studied epidemiological facts about anterior and posterior segment findings