Abstract

MARTINEZ-SANZ, F.; VELARDE, J.I.; CASUSO, P.  and  FERNANDEZ-COTERO, J.N.. Surgical solution to vitreous floaters visual problem. Arch Soc Esp Oftalmol [online]. 2009, vol.84, n.5, pp.259-262. ISSN 0365-6691.

Purpose: To evaluate the role of 25 gauge pars-plana vitrectomy (25G-PPV), after a careful patient selection, when we find highly annoying vitreous floaters and to question if this is an ethic therapeutic option. Methods: A retrospective study of eight eyes (seven patients) aged 58 ± 14 years old (range 42-78) high myopes and pseudophakes who underwent 25G-PPV. Clinical data and visual acuity were studied at six to twelve months follow-up. Health-related functioning and quality of life was measured with the 39-item National Eye Institute Visual Functioning Questionnaire (NEI VFQ-39). Results: No complications were observed. All patients were satisfied. Safety at third month was 100% and 37.5% improved one or more lines of visual acuity. Conclusions: Vitreous floaters can be often undervaluated by ophthalmologists, resulting in no intervention. Conventional 20 gauge PPV after a carefully examination can be an effective option for some authors. 25G-PPV incorporates also advantages as the early recovery, with little complications in pseudophakic eyes.

Keywords : 25 gauge pars plana vitrectomy; vitreous floaters; pseudophakic.

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