25 in the left eye; intraocular pressure was 16 mmHg in the right eye and 21 mmHg in the left eye; the right eye had mild anterior chamber inflammation with small mutton-fat keratic precipitates, 2+ flare, and 3+ cells, respectively [Figure 1]a; dilated examination revealed vitreous hemorrhage
with invisible fundus [Figure 1]b; and no significant finding was noted in the left eye.
1,2,3) Other clinical findings include white spots on the retina, thinning of the retinal vessels, dendritic appearance of the peripheral retina, and vascular sheathing, and complications such as vitreous hemorrhage
and retinal detachment may occur.
(2%) into the subvitreal space is due to neovascular growth and fibrovascular tissue contraction, common in diabetic patients.
Objective: To evaluate the visual outcomes of 27-gauge transconjunctival sutureless vitrectomy surgery and its complications in patients with diabetic vitreous hemorrhage
More patients in the semaglutide group required retinal photocoagulation or the use of an intravitreal agent, had a vitreous hemorrhage
, or had developed diabetes-related blindness.
Factors such as initial visual acuity (VA), type of injury, location and extent of the wound, severity of vitreous hemorrhage
, and type of intraocular foreign body (IOFB) showed correlation with the final visual outcome.
These include IOFB size and weight, age, presenting VA, location of IOFB, uveal prolapse, large wound size, vitreous hemorrhage
, and preoperative RD19,21,22.
The surgeon can thus decrease the risk of vitreous hemorrhage
Common posterior segment manifestations include commotion retinae, choroidal rupture, vitreous hemorrhage
, retinal tear/dialysis and macular hole2.
Less common features included exudative retinal detachment, anterior uveitis, periphlebitis, branch retinal vein occlusion, and vitreous hemorrhage
Amer Awan, in his address after the live surgery, discussed causes and management of various retinal diseases including retinal detachment, vitreous hemorrhage
(bleeding inside the eye) due to diabetes and other retinal complications.
Macular hole, retinal hemorrhage, vitreous hemorrhage
and rhegmatogenous retinal detachment are also rare complications and care should be taken in high risk patients.