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Farrah Islam, Nadeem Qureshi; Management and outcomes of Giant Retinal tear presenting with proliferative vitreoretinopathy in a Tertiary Care Eye Hospital.. Invest. Ophthalmol. Vis. Sci. 2017;58(8):2824.
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© ARVO (1962-2015); The Authors (2016-present)
The management of GRT complicated by PVR remains to be challenging for VR surgeons. The purpose of this study was to determine the clinical characteristics, cause, treatment, complications and visual outcome of Giant retinal tear( GRT)presenting with proliferative vitreoretinopathy in a tertiary care eye centre in Pakistan
A prospective, consecutive, noncomparative study including 28 eyes from 28 patients with a follow-up of at least 6 months.Setting/Venue : Department of Vitreo-retina, Al-Shifa Trust eye hospital, Rawalpindi, Pakistan.
The GRTs were mostly seen in young(21.18±12.58yrs), male(96.4%) patients, 29.2% had previous surgeries and 46.4 % were Myope. 25% presented with PVR A, 57.1% with PVR B and 17.9% had PVR C. Vision was mostly hand movement or worst(92.9%).The retina was rolled over in 92.9%. Treatment included pars plana vitrectomy with use of PFCL in all cases, with 360 encirclement(60.7%), inferior segmental in 3.6 % and no explant in 35.7%. Primary Lensectomy was performed in 25%. At 6 months, anatomical success was achieved in 64.3%, there was subtotal RD in 32.1%(requiring reoperation, mostly myopic eyes) and total RD in 3.6%. Visual acuity improved in 50% ( mostly HM-6/60) and deteriorated in 14.3%.
We present a different cohort of patients with GRTs. Anatomical results are fair but overall visual improvement is limited.Financial Disclosure: None.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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