Introduction Surgically induced astigmatism is an unwanted variable that can lead to poorer visual and refractive outcomes in patients undergoing vitrectomy even when a technically precise procedure has been performed. This study assesses the difference in surgically induced astigmatism (SIA) between the traditional 20-gauge vitrectomy and the newer 25-gauge sutureless technique by comparing pre-and post-procedure keratometry readings. Method The study is a retrospective consecutive case series of vitrectomies performed by a single surgeon. There were a total of 47 patients, eight with bilateral procedures, 24 who underwent the 20 gauge, and 31 who had the 25-gauge procedure. Patients were excluded for corneal altering pathology or scleral buckling procedures. Vector analysis of pre-and post-vitrectomy readings was performed using Alpin's method, facilitated by the ASSORT program version 4.1. Results Mean time at which post-operative keratometry readings were taken was 3.9 months (1-36).
There is a significantly wide variety of current practices for antimetabolite administration and bleb needling within the UK and Ireland. This may be influenced by a glaucoma surgeon's specific experience and audit results as well as particular clinical set-up, availability of antimetabolite and clinic room space.
This case report describes a rare case of spontaneous structural and functional recovery of macular atrophy following acute traumatic maculopathy. A 53-year-old man suffered a blunt left-eye injury. Initial optical coherence tomography showed evidence of macular hole formation. Over the following month, macular atrophy developed, with left best-corrected visual acuity ranging from 6/24 to 6/18. Following 14 months, the atrophy spontaneously resolved – correlating with left visual acuity improving to 6/6. Although the outcome from severe traumatic maculopathy and subsequent macular atrophy is almost uniformly considered to be poor, this rare case demonstrates that spontaneous recovery may still occur.
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