Ultrasound biomicroscopy of sclerotomy sites after pars plana vitrectomy for diabetic vitreous hemorrhage11The authors have no proprietary interest in any of the materials used in this study.

Bhende, Muna; Agraharam, Satish Gooty; Gopal, Lingam; Sumasri, Kallakuri; Sukumar, B.; George, Joshua; Sharma, Tarun; Shanmugam, Mahesh P; Bhende, Pramod; Shetty, Nitin; Agrawal, Rajat; Deshpande, Dhanashree

doi:10.1016/s0161-6420(00)00213-x

Cited by 67 publications

(36 citation statements)

References 11 publications

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“…Because the image of a scleral wound can be obtained using OCT without touching the wound, there is no risk of endophthalmitis. UBM is also used to evaluate scleral wounds [4][5][6][7] ; however, there might be a risk of endophthalmitis because the UBM probe comes into contact with the wounds. The high resolution of OCT is another advantage.…”

Section: Discussionmentioning

confidence: 99%

“…Bhende et al [5] reported that vitreous incarcerations were observed in 12.8% at the active port, 5.8% at the light port and 18.6% at the infusion port in 20-gauge vitrectomies performed to treat diabetic vitreous hemorrhages using UBM. The visible sclerotomy gap in the open wound group might represent eyes with vitreous incarcerated in the sclerotomy, which might inhibit complete wound closure; however, no vitreous incarceration was detected on OCT images.…”

Section: Discussionmentioning

confidence: 99%

“…Most sclerotomies healed well or had either moderately to highly reflective plaques bridging the site 6-8 weeks after 20-gauge vitrectomy [5] . Keshavamurthy et al [7] reported a patient who underwent 25-gauge vitrectomy, and the sclerotomy site was undetectable 2 weeks postoperatively.…”

Section: Introductionmentioning

confidence: 99%

“…The sclerotomy site has been evaluated by ultrasound biomicroscopy (UBM), which is useful for detecting fibrovascular proliferation or healing at the sclerotomy sites [4][5][6][7] . Most sclerotomies healed well or had either moderately to highly reflective plaques bridging the site 6-8 weeks after 20-gauge vitrectomy [5] .…”

Section: Introductionmentioning

confidence: 99%

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Closure of Sclerotomies after 25- and 23-Gauge Transconjunctival Sutureless Pars Plana Vitrectomy Evaluated by Optical Coherence Tomography

et al. 2010

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Aims: To evaluate sclerotomy closure after 25- and 23-gauge transconjunctival sutureless pars plana vitrectomy using optical coherence tomography (OCT). Methods: Forty-eight eyes (20 with a macular hole and 28 with an epiretinal membrane) of 47 patients (mean age, 66.5 years) who underwent one of the two procedures were included. Three sclerotomy sites in each eye were measured by cross-sectional OCT images vertical and parallel to the limbus on weeks 1 and 2 and months 1, 2 and 3 postoperatively. Results: After 25-gauge vitrectomy, the scleral wounds evaluated by OCT closed in 40.6% of the eyes at 1 week, 53.3% at 2 weeks, 60.5% at 1 month, 63.6% at 2 months and 63.9% at 3 months. There were significant differences in the closure rates between 1 week and 1 month (p = 0.015), 2 months (p = 0.007) and 3 months (p = 0.006) postoperatively. After 23-gauge vitrectomy, the scleral wounds closed in 31.6% of the eyes at 1 week, 50.0% at 2 weeks, 57.4% at 1 month, 63.0% at 2 months, and 61.1% at 3 months postoperatively. There were significant differences in the closure rates between 1 week and 1 month (p = 0.011), 2 months (p = 0.001) and 3 months (p = 0.002) postoperatively. The wound closure rates did not differ significantly between the two procedures. Conclusions: Scleral wounds after 25- and 23-gauge transconjunctival sutureless pars plana vitrectomy can be evaluated with OCT. Wound healing seems to be complete 2 weeks postoperatively.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Closure of Sclerotomies after 25- and 23-Gauge Transconjunctival Sutureless Pars Plana Vitrectomy Evaluated by Optical Coherence Tomography

et al. 2010

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“…It has been reported that vitreous incarceration, anterior hyaloidal fibrovascular proliferation and fibrovascular ingrowth can be a cause of recurrent vitreous hemorrhage after primary vitrectomy done for complications of diabetic retinopathy. [28,29] Bhende M et al [28] reported vitreous incarceration detected by ultrasound biomicroscopy in upto 18% in cases of recurrent vitreous hemorrhage. Hershbergers et al [29] reported fibrovascular ingrowth seen by ultrasound biomicroscopy in upto 58% of cases in their series.…”

Section: Discussionmentioning

confidence: 99%

Ophthalmic endoscope: A novel diagnostic imaging tool

Raizada

Kandari

Sabti³

2017

IJDI

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The purpose of the study was to evaluate the feasibility of ophthalmic endoscope as a diagnostic tool. This was a prospective, non-comparative, interventional clinical study of 11 consecutive patients who underwent endoscopy-assisted management for ocular pathologies. We used a fused fiber-optic type of endoscope to visualize areas of the eye which were not seen clearly, due to media opacity, through conventional viewing systems like indirect ophthalmoscopy or wide angle viewing system. Eleven cases were enrolled in the study. Five patients underwent endoscopic examination of the fundus prior to penetrating keratoplasty (PKP) or keratoprosthesis. In one out of these 5 cases, PKP was differed due to pale optic nerve. Patient number 6, 7 & 8 were cases of recurrent vitreous hemorrhage. In these patients, endoscope was used to inspect the sclerotomy from inside and to remove incarcerated vitreous and fibro-vascular membrane. Patient number 9 was a case of poorly dilating pupil undergoing cataract surgery. Endoscope was used in this patient to locate the exact position of haptics of PCIOL. In cases 10 and 11, endoscope was used to localize ciliary sulcus and to document the position of haptics of sclera fixated IOL. Conclusion: The ophthalmic endoscope provides valuable information by illuminating, video recording, and by providing clear view of areas not visible by conventional viewing systems. It can help in management strategies in selected cases.

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Anti-vascular endothelial growth factor for prevention of postoperative vitreous cavity haemorrhage after vitrectomy for proliferative diabetic retinopathy

Steel

Smith

2010

Cochrane Database of Systematic Reviews

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Ultrasound biomicroscopy of sclerotomy sites after pars plana vitrectomy for diabetic vitreous hemorrhage11The authors have no proprietary interest in any of the materials used in this study.

Cited by 67 publications

References 11 publications

Closure of Sclerotomies after 25- and 23-Gauge Transconjunctival Sutureless Pars Plana Vitrectomy Evaluated by Optical Coherence Tomography

Closure of Sclerotomies after 25- and 23-Gauge Transconjunctival Sutureless Pars Plana Vitrectomy Evaluated by Optical Coherence Tomography

Ophthalmic endoscope: A novel diagnostic imaging tool

Anti-vascular endothelial growth factor for prevention of postoperative vitreous cavity haemorrhage after vitrectomy for proliferative diabetic retinopathy

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