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4 - Etiologic distributions of the patients undergoing pars plana vitrectomy
Saniye Üke Uzun, Dilek Güven, Çağrı Türker
Aim: To evaluate the indications of pars plana vitreoretinal surgery in Şişli Etfal Training and Research Hospital Eye Clinic.
Materials and Methods: The patients who underwent PPV between September 2008 and May 2010 were evaluated retrospectively using their charts and indications were determined in our clinic.
Results: The study included 90 eyes of 85 patients who underwent vitreoretinal surgeries. Demography and indications were analyzed. Mean age was 54,45 and 45 patients were male. According to etiology the distribution was as follows; proliferative diabetic retinopathy (PDR) complications in 36 eyes (40%), retinal detachment (RD) in 19 eyes (22%), macular surface disease in 16 eyes (17,7%), penetrating ocular trauma in 8 eyes (8,8%), vitreus hemorrhage in 3 eyes (3,3%), massive submacular hemorrhage in 3 eyes (3,3 %), nucleus or intraocular lens (IOL) in as a complication of previous cataract surgery in 3 eyes (3,3%) and endophthalmitis in 2 eyes (2,2%).
In 14 patients a second operation was required due to retinal redetachment in 64% (9 eyes), secondary epiretinal membrane formation (ERM) in 29% (4 eyes) and rehemorrhage in 7% (1 eye).
Retinal redetachment in 4 eyes (57%) and secondary epiretinal membrane in 3 eyes (43%) necessitated third operation in 7 eyes. Two eyes received fourth operation because of retinal redetachment. In addition silicone oil removal as a consequence of primary operation was applied to twelve eyes.
Conclusion: A wide spectrum of vitreoretinal surgery operations were performed in our clinic. In accordance with the literature, vast majority of the indications were proliferative diabetic retinopathy complications, retinal detachment and its complications.
Keywords: Indications, pars plana vitrectomy, proliferative diabetic retinopathy, retinal detachment
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