Miodesopsie.it

[vitto78]

Un recentissimo studio spagnolo sulla vitreoctomia per sole miodeopsie:

1: Arch Soc Esp Oftalmol. 2009 May;84(5):259-62.Links
[Surgical solution to vitreous floaters visual problem.]
[Article in Spanish]

Martínez-Sanz F, Velarde JI, Casuso P, Fernández-Cotero JN.

Instituto Cántabro de Oftalmología, Santander, España.

PURPOSE: To evaluate the role of 25 gauge pars-plana vitrectomy (25G-PPV), after a careful patient selection, when we find highly annoying vitreous floaters and to question if this is an ethic therapeutic option. METHODS: A retrospective study of eight eyes (seven patients) aged 58 +/- 14 years old (range 42-7 high myopes and pseudophakes who underwent 25G-PPV. Clinical data and visual acuity were studied at six to twelve months follow-up. Health-related functioning and quality of life was measured with the 39-item National Eye Institute Visual Functioning Questionnaire (NEI VFQ-39). RESULTS: No complications were observed. All patients were satisfied. Safety at third month was 100% and 37.5% improved one or more lines of visual acuity. CONCLUSIONS: Vitreous floaters can be often undervaluated by ophthalmologists, resulting in no intervention. Conventional 20 gauge PPV after a carefully examination can be an effective option for some authors. 25G-PPV incorporates also advantages as the early recovery, with little complications in pseudophakic eyes (Arch Soc Esp Oftalmol 2009; 84: 259-262).

http://www.ncbi.nlm.nih.gov/pubmed/19466687?ordinalpos=3&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

[vitto78]

Altro interessante articolo sulla fov. Si vedano le pagine 119-121.

http://books.google.it/books?id=4Sy5ez6nKW4C&printsec=frontcover&dq=Vitreo-Retinal+Surgery:+Progress+III#v=onepage&q=&f=false

[vitto78]

Il testo completo dello studio spagnolo:

http://www.oftalmo.com/seo/archivos/maquetas/F/06A87069-3FC2-2E48-A33E-000008E6BA9F/articulo.pdf

[vitto78]

Studio brasiliano completato:

http://clinicaltrials.gov/ct2/show/NCT00870597?term=floaters&rank=1

[emarcbo]

Ciao

Il problema vero' pero' credo (secondo me) non sta tanto nel buon esito immediato quanto nei possibili problemi a distanza di anni.

Perche' se anche mi spariscono tutte le mosche ma poi dopo 2 o 3 anni mi viene la cataratta o il glaucoma o un distacco di retina a questo punto bisogna valutare. Non ho trovato siano statistiche a distanza di 5 o 10 anni su Internet , in genere sono a 12 mesi dalll'intervento.

bye
Marco.