PURPOSE To determine whether intravitreal injection of autologous plasmin enzyme (APE) is effective in vitreomacular traction syndrome (VMTS) by improving visual acuity and restoring macular morphology. METHODS A prospective study of 11 consecutive patients diagnosed with VMTS in the Ophthalmology Department from January to May, 2011. INCLUSION CRITERIA best corrected visual acuity (BCVA) l...

The paper presents a review of the sequence of events of posterior vitreous detachment (PVD), vitreomacular adhesion (VMA), vitreomacular traction (VMT), and macular hole (MH) from their pathophysiological aspects, clinical features, diagnostic implications, and current management strategies. A treatment algorithm to be used in clinical practice in patients with VMA, VMT, and MH based on the pr...

Persistant hyperplastic primary vitreous (PHPV) was described in detail as a clinical entity by Reese1 in 1955 in his Jackson Memorial Lecture. Goldberg in his 1997 Jackson Memorial Lecture2 renamed PHPV as persistent fetal vasculature (PFV). PHPV is a pathologic entity resulting from abnormal persistence of the fetal fibrovascular primitive stroma (hyaloid system) of the eye3,4 which should di...

A 30-year-old carpenter accidentally impaled his own left eye with a 5 cm staple ejected from a pneumatic gun. Entering the globe off-axis, the stainless steel staple caused a vitreous hemorrhage. On the day of injury, the staple was removed surgically. The vitreous hemorrhage cleared rapidly enough to permit laser treatment around the equatorial retinal perforation site. Visual acuity improved...

In this article we herein report an interesting vitreo-macular interface abnormality associated with chronic diabetic cystoid macular edema. It is an observational case study of three diabetic patients examined in the diabetic clinic. All the patients had proliferative diabetic retinopathy with chronic macular edema. A serial cross sectional OCT examination and tracking of both the longitudinal...

Marsden, J. (2004) Implications of and treatment options for retinal detachment. Nursing Times; 100: 37, 44–47. The retina is a complex structure that turns light falling onto it via a chemical reaction into nerve impulses, which then travel to the brain for interpretation into images. If the retina is damaged or moved from its correct location, a person’s ability to interpret the world is comp...

BACKGROUND Primary phakic rhegmatogenous retinal detachment (RRD) without posterior vitreous detachment (PVD) represents a unique clinical entity that behaves differently from RRD associated with PVD. While previous studies have reported the long term findings in the fellow eye of patients with RRD and PVD, the outcome of the fellow eye of patients with RRD without PVD is not known. METHODS C...

INTRODUCTION A cataract is defined as an opacity of any portion of the lens, regardless of visual acuity. In some advanced cases of cataracts, in which good fundus visualization is not possible, an ultrasound examination provides better assessment of the posterior segment of the globe. OBJECTIVES This study aims to evaluate the ultrasonographic records of patients with advanced cataracts who ...

Fourteen cases of primary retinal detachment after extracapsular cataract extraction and posterior chamber intraocular lens implantation were treated by scleral buckling surgery. Retinal reattachment was achieved in 100% of the cases. All eyes had a postoperative visual acuity of 6/30 or better; in six eyes the visual acuity was 6/12 or better. We attributed our high anatomical success rate to ...