Visual Acuity Recovery After Vitreoretinal Surgery

Jaafar Manal

Chu Souss Massa, Morocco

Biography :

Manal Jaafar is a third year resident in CHU Souss Massa Agadir. She has completed her PhD at the age of 24 years from Rabat University School of Medicine and pharmacy. She is now completing her specialization in oph­thalmology in Agadir and has multiple submitting to local congresses in Morocco sush as SAMIR, SMO, RESO

Abstract :

Posterior segment pathologies are a frequent cause of visual impairment and blindness. Their management relies on vitreoretinal surgery. This surgery can be performed either urgently or electively depending on the circumstances. The aim of our study was to highlight the contri­bution of vitreoretinal surgery and its impact on visual prognosis across different pathologies.

To achieve our objective, we conducted:

• retrospective exploratory study spanning eight months, involving 64 patients who un­derwent vitreoretinal surgery and whose medical records were analyzable regarding var­ious clinical, paraclinical, and therapeutic aspects.
• study period covered eight months: January 2023 to August 2023.

 

Our study was conducted with an analytical aim to evaluate the functional visual prognosis following vitreoretinal surgery for different underlying pathologies.

• recovery generally took several months after surgery but varied significantly de­pending on the pathology involved.
• recovery following macular hole surgery was often satisfactory but partial, being better in patients with smaller macular holes (<200 microns).
• recovery was slow after epiretinal membrane surgery. Vision typically improved sub­stantially within the first month, followed by slow improvement over the next 2 to 3 months.
• after vitreous hemorrhage surgery and improvement in visual acuity were relat­ed to the cause of bleeding.
• retinal detachments, visual recoveries varied. They were better for macu­la-sparing, recent detachments managed early, but prognosis was poor for tractional ret­inal detachments, old detachments, macula-off cases.