Copenhagen 2016 Registration Programme Exhibitor Information Virtual Exhibition Satellite Meetings Glaucoma Day 2016 Hotel Star Alliance
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10 - 14 Sept. 2016, Bella Center, Copenhagen, Denmark

This Meeting has been awarded 27 CME credits

 

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Anterior segment approach in posterior segment urgent surgery

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Session Details

Session Title: Presented Poster Session: Combined Cataract Surgery

Session Date/Time: Saturday 10/09/2016 | 15:00-16:30

Paper Time: 15:20

Venue: Poster Village: Pod 1

First Author: : P.López Lizárraga SPAIN

Co Author(s): :    F. March de Ribot   A. March de Ribot           

Abstract Details

Purpose:

Urgent retinal surgery is considered in cases of retinal detachment without macular involvement, in special cases (one eye patients), endophthalmitis and others like lens nuclei in vitreous cavity, inflammatory, malignant or ghost cells Glaucoma refractory to medical treatment. It is considered that the fact of performing these procedures in an urgent fashion improves the surgical results. It is recommended to give the surgical treatment in less than 48 hours after the onset of symptoms.

Setting:

Universitary Hospital, Ophthalmology Service

Methods:

Retrospective descriptive study of a series of cases of patients who underwent urgent retinal surgery, treated in a tertiary referral hospital in a 10-month period: from August 1, 2014 to March 1, 2015. The patients' characteristics related to the clinical presentation of the retinal detachment, the type of surgery, surgical results and patient response to treatment, surgical time and work methodology were reviewed. The data analysis was performed through computerized medical records and individual surgeon records. The variables were organized in an Excel database, and statistical analyzes of the data distribution and significance grade were performed.

Results:

18 patients were included, the mean age at presentation was 63 years (47-82). Patients had one eye in 39% of cases. The most common diagnosis retinal detachment (72%), complications of previous segment presented in 22% and endophthalmitis in 6%. The evolution between the presentation of the clinic and the surgery was on average 2.1 days (1-5). The initial vision was 20/20 in 22% of cases, counting fingers in 6%, hand movement in 61% and light perception in 11%. The operation could be performed in 78% of cases and had to be cancelled in 22%. Retina surgeries included vitrectomy in 100% of cases, scleral buckle in 67% and added phacoemulsification was performed in 80%.

Conclusions:

Anterior segment surgery is very important for a good posterior segment approach, this is basic in urgent surgery, because among other considerations, sometimes the emergency room is not the best provided or the team trained properly. Retinal surgery in the emergency room is not recommended and should be considered in specific patients.

Financial Disclosure:

NONE

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