RESUMO
The aim of this study was to show the long term recovery after the operative procedure of pars plana vitrectomy (PPV) in patients with epiretinal membranes (ERM) and macular holes. We wanted to show if there is a difference in operative approach and results of 23 and 25 gauge PPV Twenty eight patients underwent to operative treatment of idiopatic ERM and macular holes grade III and IV In our study there was not a statistical significant difference in visual acuity (VA) between 23 gauge and 25 gauge operated patients, both ERM and macular holes. Although both approaches are good, morphological restitution do not always follow the functional recovery.
Assuntos
Membrana Epirretiniana/cirurgia , Perfurações Retinianas/cirurgia , Humanos , Estudos Retrospectivos , Tomografia de Coerência Óptica , VitrectomiaRESUMO
AIM: To evaluate the long term results of argon laser iridotomy in neovascular glaucoma with previous primary angle-closure glaucoma. PATIENTS AND METHODS: The study included 186 glaucomatouse eyes of 160 patients who had over a 10-year chronic primary angle-closure glaucoma. Inclusion criterion was later associated neovascular activities in the anterior globe segment, due to prolipherative diabetic retinopathy or central retinal vein occlusion. All the patients were treated with preparatory stretch burns of 200 u spot size, 0.2 sec. exposure and 200 mW power, and than with penetration burns of 50 u, 0.2 sec. and 1000 mW. until the transillumination appear. RESULTS: The iris falls back and the peripheral anterior chamber deepens in 90% of the treated eyes. CONCLUSION: Argon laser iridotomy is safely than any other method to deepen the anterior chamber when rubeosis of the iris is associated to primary angle--closure glaucoma.