Etiology of vitreous haemorrhage in a tertiary eye care centre of north India (original) (raw)
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Etiology of Vitreous Hemorrhage in a Tertiary Eye Care Center in Jhansi
Purpose: To find out the etiology of vitreous hemorrhage in cases of vitreous hemorrhage at a tertiary eye Centre in Jhansi. Place and Duration of Study: This study was conducted at Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, India for one year from December 2019 to November 2020. Materials and methods: This was a hospital-based cross-sectional study done over a period of one year. One hundred subjects with vitreous haemorrhage were evaluated in detail to establish the etiology. Statistics: The mean value and standard deviation were calculated. The data were analyzed using Microsoft excel and SPSS 11.5 program. Results: A total of 110 eyes of 100 patients were evaluated. The mean age was 43.35 (± 20.63) years with a range of 2 months to 70 years. Male were 67 %. Bilateral involvement was found in 19.6 %. Proliferative diabetic retinopathy, retinal vasculitis, branch retinal vein occlusion, rhegmatogenous retinal detachment together with ocular trauma constituted the etilogoy of vitreous hemorrhage in more than 73 % of patients. Conclusion: Proliferative diabetic retinopathy, retinal vasculitis and branch retinal vein occlusion are the most common causes of vitreous hemorrhage in adults whereas in children trauma is the commonest cause.
2018
AIM OF THE STUDY: To evaluate cases of vitreous haemorrhage and assess the causes and visual outcome following different treatment modalities. STUDY DESIGN: Prospective and retrospective study. STUDY CENTRE: Regional Institute of ophthalmology and Govt. Ophthamlic hospital, Chennai. PARTICIPANTS: 100 patients with vitreous haemorrhage. OUTCOMES MEASURED: Visual acuity, Direct and Indirect ophthalmoscopy, B-scan USG, optical coherence tomography (OCT) and patients were followed up on 1st, 2nd, 4th week, 3rd month. RESULTS: 25 cases (56.8%) had PDR, 14 cases (31.8%) are due to trauma and 5 cases (11.36%) had spontaneous vitreous haemorrhage. visual outcomes were better with surgical treatment than medical treatment. CONCLUSION: PDR found to be the most common cause followed by trauma and spontaneous haemorrhage. Surgical treatment had better prognosis than medical modality.
International Journal of Retina
Introduction: Proliferative Diabetic retinopathy is the most common cause of blindness in adults. In the management of vitreous hemorrhage, vitrectomy is the main choice and also laser photocoagulation with or without anti-VEGF administration as additional therapy. This study aims to determine the number of patients, demographic characteristics, clinics, risk factors, distribution of treatment, and treatment outcomes for PDR patients with vitreous hemorrhage at Cipto Mangunkusumo Hospital. Methods: This study was retrospective descriptive study conducted from January 2020 to October 2022 who met the inclusion criteria. Population in this study were patients at Cipto Mangunkusumo Hospital with PDR accompanied by vitreous hemorrhage. Data shown in the table were mean (standard deviation) and number (percentage) based on the type of the data. Result: A total of 146 patients with the diagnosis of Proliferative Diabetic Retinopathy (PDR) with vitreous hemorrhage. Majority of subjects wer...
Surgical Approach In Vitreous Hemorrhage
International Journal of Retina
Introduction: To report cases of retinal disorders that cause vitreous hemorrhage and the timing of pars plana vitrectomy in Cicendo Eye Hospital Methods: Retrospective observational study of all patients diagnosed with the vitreous hemorrhage who had undergone pars plana vitrectomy in 2016. Data were collected from medical record. Result: The mean age of this study is 54.65 years old from 260 vitreous hemorrhage patients. The most common retinal abnormalities are proliferative diabetic retinopathy (49.6%), wet age related macular degeneration (AMD) (13.5%), undetected retinal abnormalities (12.7%), retinal vein occlusion (8.8%), rhegmatogen retinal detachment (6.5%), trauma (3.45%), vasculitis (3.1%), idiopathic polypoidal choroidal vasculopathy (3.1%), and drop IOL (1.2%). PPV performed 1-3 months after initial assessment (31.25%), less than 1 month (13.2%), more than 3 months (14.6%) Conclusion: The most common etiology of vitreous hemorrhage is proliferative diabetic retinopathy...
Outcomes of Vitrectomy for Non-Traumatic Non-Diabetic Vitreous Hemorrhage
2008
To determine the causes of non-traumatic non-diabetic vitreous hemorrhage (NDVH) and to report the visual and anatomical outcomes and complications of vitrectomy for this condition. Method: In a retrospective case series, records of patients who had undergone vitrectomy for non-traumatic NDVH over a ten year period at Labbafinejad Medical Center, Tehran-Iran with at least six months of follow up were reviewed for causes of the condition and outcomes of surgery. Results: From 1993 to 2003, 50 eyes of 49 patients (51% male) with mean age of 62.7±10.3 (range 35-87) years underwent vitrectomy for non-traumatic NDVH. Preoperatively, mean best-corrected visual acuity (BCVA) was 2.36±0.52 LogMAR and relative afferent pupillary defect was positive in 91.1% of the eyes. Mean BCVA increased significantly to 1.38±0.72 LogMAR at six months (P<0.0001). Causes of non-traumatic NDVH included: branch retinal vein occlusion (56%), central retinal vein occlusion (16%), choroidal neovascularization (12%) and posterior vitreous detachment with retinal break, Eales' disease, familial exudative vitreoretinopathy and Terson's syndrome (each in 4%). The most common causes of poor visual outcomes were: macular pigmentary derangement (26%), optic atrophy (16%), severe lens opacity (12%) and epiretinal membrane (8%). Conclusion: Despite the significant increase in VA following vitrectomy, irreversible macular or optic nerve pathology limits significant improvement in central visual acuity in several cases of non-traumatic NDVH. Vascular accidents were the most common cause of this condition.
2014
Material and Methods: Randomized clinical trial conducted at LRBT, Free Base Eye Hospital, Karachi, from January 2010 to June 2012. Two hundred sixty patients of vitreous haemorrhage secondary to proliferative diabetic retinopathy (Type – l diabetes mellitus) were randomly selected, age range between 30 – 70 years, 23 – gauge (n = 130) group A; males 73 (56.16%), females 57 (43.85%) and 20 – gauge pars plana vitrectomy (n = 130) group B; males 70 (53.85%), females 60 (46.15%). Post-operative follow up were at day one, 1 week, 1 month, 2 month, 3 month and final 6 month. Data was analyzed and compared for post-operative best corrected visual acuity (BCVA) and complications between two groups.
Risk factors for recurrent vitreous haemorrhage in patients with proliferative diabetic retinopathy
Background : To investigate which demographic and clinical factors are related to the presence of recurrent vitreous haemorrhage in a population of diabetic patients diagnosed with proliferative diabetic retinopathy [PDR]. Methods: This was a retrospective review-based study. We studied 285 eyes from 165 patients with PDR. We recorded age, gender, type of diabetes mellitus [DM] , type of DM treatment, history of hypertension and body mass index, panretinal photocoagulation status and the presence of concomitant anticoagulant or antiplatelet treatment. We evaluated the mean glycosylated haemoglobin, mean haemoglobin, the urine albumin to creatinine ratio and the estimated glomerular filtration rate in each patient. In addition, we recorded the smoking history [pack-years] and the systemic complications related to DM. We used the logistic regression analysis to study which independent variables were significantly related to the presence of recurrent vitreous haemorrhage. Results: In t...
Outcome of Acute Nontraumatic Vitreous Hemorrhage in Healthy Patients
Retina-the Journal of Retinal and Vitreous Diseases, 2020
Purpose: To compare outcomes in dense vitreous hemorrhage versus mild vitreous hemorrhage due to nontraumatic posterior vitreous detachment. 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 bestcorrected visual acuity, number of retinal tears, number of retinal detachments, and the number of pars plana vitrectomy and/or scleral buckle surgeries. 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). 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.
Ocular echography in the prognosis of vitreous haemorrhage in type II diabetes mellitus
International ophthalmology
In this study, we have attempted to demonstrate the presence of various echographic parameters which could be associated with a non-spontaneous resorption of vitreous haemorrhage in type II diabetes mellitus and correlate these parameters with clinical outcome. We studied 297 eyes of 257 patients with diabetic retinopathy and vitreous haemorrhage without tractional macular retinal detachment ophthalmoscopically and echographically. Of the total eyes studied, a 3-month follow-up visit (including ultrasound) was available in 208 eyes. We retrospectively reviewed the medical records of each patient. The echographic parameters associated with non-resorption of the vitreous haemorrhage were: extramacular tractional retinal detachment, fibrovascular membranes and location of the haemorrhage within the subhyaloidal space (in contrast to within the intragel space). In addition, the duration of the vitreous haemorrhage and the presence of panretinal laser photocoagulation at the time of pres...
Evaluation of surgical and non-surgical approaches in patients with vitreous hemorrhage
Journal of Retina-Vitreous, 2020
To assess and compare the results of surgical and non-surgical approaches in patients with vitreous hemorrhage during the follow-up period. Materials and Methods: The patients with vitreous hemorrhage were divided into 2 groups: those who did not undergo vitreoretinal surgery (Group 1) and those who underwent surgery (Group 2). A detailed ophthalmic examination was performed, including an assessment of the best corrected visual acuity (BCVA) and intraocular pressure, as well as anterior segment and fundus biomicroscopic examination. The patients demographic information, the causes of vitreous hemorrhage, the length of the follow-up period (months) and visual acuity at the fi rst and last visits were examined for statistical analyses. Results: The mean age was 58 ± 12 and 59 ± 12 years while number of eyes included was 140 and 52 and mean follow-up period was 3.5 ± 6.1 and 11.4 ± 13.3 months in Groups 1 and 2, respectively. In Group 1, BCVA was 0.690 ± 0.55 logMAR at baseline and 0.55 ± 0.49 logMAR (p = 0.024) at the fi nal visit. In Group 2, BCVA was 1.17 ± 0.88 logMAR at baseline and 0.62 ± 0.51 logMAR in the postoperative period (p = 0.001). The most commonly observed causes of vitreous hemorrhage were diabetic retinopathy, retinal tears, retinal vein occlusion and posterior vitreous detachment. Conclusion: A signifi cant increase in BCVA was observed during the follow-up period of groups treated for vitreous hemorrhage in surgical and non-surgical manner. The increase was greater in patients underwent surgical intervention.