Treatment of vitreoretinal disorders in the developing world: indications and outcomes of vitreoretinal surgery in Nepal.

Abstract:

PURPOSE:To examine the outcomes of vitreoretinal surgery for retinal disorders at Tilganga Eye Centre in Kathmandu, Nepal. DESIGN:Retrospective noncomparative case series. PARTICIPANTS:Records of 255 patients undergoing vitreoretinal surgery from December 2000 to January 2003 were reviewed. METHODS:Demographics, diagnoses, duration of symptoms, vision, and examination findings were noted before and after vitreoretinal surgery. MAIN OUTCOME MEASURES:Postoperative data were categorized by surgery type and analyzed by anatomic success, symptoms, and visual acuity (VA). RESULTS:Sixteen percent of patients had >6/60 vision preoperatively, and the mean duration of vision loss before presentation was 4.9 months. Major indications for surgery were retinal detachment (RD) (75%) and vitreous hemorrhage (19%). Anatomic success was achieved in 74.5% of patients. Postoperatively, 39% of patients experienced improved VA, with 33% obtaining >6/60 vision. CONCLUSIONS:Despite prolonged duration of vision loss at presentation, vitreoretinal surgery in the developing world can restore useful vision in many patients with RD and vitreous hemorrhage.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Paudyal G,Doshi V,Shrestha MK,Kalayoglu MV,Tabin G,Gurung R,Shrestha B,Ruit S

doi

10.1016/j.ophtha.2004.08.018

subject

Has Abstract

pub_date

2005-02-01 00:00:00

pages

319-26

issue

2

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(04)01465-4

journal_volume

112

pub_type

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