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مقاله
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Abstract
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Title:
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CORNEAL EPITHELIAL DEFECT AFTER PARS PLANA VITRECTOMY
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Author(s):
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Leila Ghiasian, MD, Shohreh Bakhti, MD, Reza Kiaee Afshar, MD, Amirpooya Alemzadeh, MD, Khalil Ghasemi Flavarjani, MD.
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Presentation Type:
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Poster
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Subject:
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Posterior Segment
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Others:
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Presenting Author:
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Name:
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Leila Ghiasian
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Affiliation :(optional)
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Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
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E mail:
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leilaghiasian@gmail.com
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Phone:
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22003464
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Mobile:
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09125334697
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Purpose:
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To evaluate the incidence, risk factor and clinical course of corneal epithelial defect (CED) after pars plana vitrectomy (PPV).
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Methods:
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In this retrospective study 150 eyes who underwent PPV from April 2013 to March 2014 were included. All post-operative CEDs were documented. The persistent CED (PCED) was defined as CED lasting more than 2 weeks after PPV. The demographic, preoperative, intraoperative and postoperative data were compared between CED and non-CED groups
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Results:
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Post-PPV CED occurred in 53 of 150 (35.3%) eyes. Older age (P=0.02) and previous ophthalmic surgery (P=0.04) were associated with postoperative CED. Gender, diabetes, duration of surgery and intraoperative tamponade did not correlate with development of postoperative CED. Larger CED size at day 1, was associated with longer healing time (P=o.ooo). Among 53 eyes with CED, 3 eyes developed PCED (5.66%). CED was improved in 94.4% of eyes using conventional treatment modalities including lubrication and use of bandage contact lens.
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Conclusion:
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The incidence of CED after PPV was high in this study. Older age and previous ophthalmic surgery were risk factors for CED after PPV. Surgeons should limit the size of epithelial debridement as low as possible. With the proper management, majority of CEDs improve without major complication.
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Attachment:
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