Complicaciones corneales epiteliales de las vitrectomíasestudio retrospectivo

  1. S Chiambo
  2. C Baílez Fidalgo
  3. JC Pastor Jimeno
  4. RM Coco Martín
  5. E Rodríguez de la Rúa Franch
  6. MA de la Fuente Salinero
  7. JM Herreras Cantalapiedra
Journal:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Year of publication: 2004

Volume: 79

Issue: 4

Pages: 155-161

Type: Article

DOI: 10.4321/S0365-66912004000400004 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Archivos de la Sociedad Española de Oftalmologia

Sustainable development goals

Abstract

Purpose: To establish the incidence, evolution and final visual outcome of corneal epithelial complications after vitrectomy in a consecutive series performed throughout a period of one year. Methods: 195 consecutive medical records of patients vitrectomized in 2001 have been retrospectively reviewed. Patients were clinically evaluated the day after vitrectomy, during the first week, and then weekly for 3 months (minimum follow-up). Functional results have been established at the end of this period. Results: 12 out of 195 eyes developed corneal epithelial complications after surgery (6.1%). Eight cases were diagnosed of persistent epithelial defect (4.1%), and four cases (2%) of necrotizing herpetic keratitis. Six out of 12 were diabetic. Corneal epithelial complications affected 10.5% of diabetic and 4.3% of non-diabetic patients (p=0.10). The majority of persistent epithelial defects healed without sequelæ in less than two months. Herpetic keratitis required between 3 to 4 months to heal and caused corneal scarring in all cases. Conclusions: Persistent corneal epithelial defects after vitrectomy are a relatively frequent complication, mainly in diabetic patients. Recurrence of herpetic keratitis must also be kept in mind. This finding has not been previously reported and needs further studies.

Bibliographic References

  • Schachat, AP, Oyakawa, RT, Michels, RG, Rice, TA. (1983). Complications of vitreous surgery for diabetic retinopathy: II. Postoperative complications. Ophthalmology. 90. 522-530
  • Chung, H, Tolentino, FI, Cajita, VN, Acosta, J, Refojo, MF. (1988). Reevaluation of corneal complications after closed vitrectomy. Arch Ophthalmol. 106. 916-919
  • Michels, RG, Wilkinson, CP, Rice, TA. (1993). Desprendimiento de retina. Mosby de España. Madrid.
  • Perry, HD, Foulks, GN, Thoft, RA, Tolentino, FI. (1978). Corneal complications after closed vitrectomy through the pars plana. Arch Ophthalmol. 96. 1401-1403
  • Foulks, GN, Thoft, RA, Perry, HD, Tolentino, FI. (1979). Factors related to corneal epithelial complications after closed vitrectomy in diabetics. Arch Ophthalmol. 97. 1076-1078
  • Snip, RC, Thoft, RA, Tolentino, FI. (1980). Similar epithelial healing rates of the corneas of diabetic and nondiabetic patients. Am J Ophthalmol. 90. 463-468
  • Kenyon, KR. (1979). Recurrent corneal erosion: pathogenesis and therapy. Int Ophthalmol Clin. 19. 169-195
  • Virata, SR, Kylstra, JA, Singh, HT. (1999). Corneal epithelial defects following vitrectomy surgery using hand-held, sew-on, and noncontact viewing lenses. Retina. 19. 287-290
  • Friberg, TR, Ohji, M, Scherer, JJ, Tano, Y. (2003). Frequency of epithelial debridement during diabetic vitrectomy. Am J Ophthalmol. 135. 553-554
  • Liesegang, TJ. (1997). Textbook of Ophthalmology. Williams and Wilkins. Baltimore.
  • Kaufman, HE, Rayfield, MA. (1988). The Cornea. Churchill Livingstone. New York.
  • Pavan-Langston, D. (1975). Diagnosis and management of herpes simplex ocular infection. Int Ophthalmol Clin. 15. 19-35
Data source: Dialnet