prikaz prve stranice dokumenta Pneumatic vitreolysis using the Drinking bird technique for management of vitreomacular traction : A prospective, non-randomized, open-label, single-arm, interventional pilot study
  Download
PDF 1.11 MB
master's thesis
Pneumatic vitreolysis using the Drinking bird technique for management of vitreomacular traction : A prospective, non-randomized, open-label, single-arm, interventional pilot study
Split: University of Split, School of Medicine, 2019. urn:nbn:hr:171:114777
Kowalski, Martin
University of Split
School of Medicine
Ophthalmology

Institutional repository: MEFST Repository

Cite this document

Kowalski, M. (2019). Pneumatic vitreolysis using the Drinking bird technique for management of vitreomacular traction : A prospective, non-randomized, open-label, single-arm, interventional pilot study (Master's thesis). Split: University of Split, School of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:171:114777

Kowalski, Martin. "Pneumatic vitreolysis using the Drinking bird technique for management of vitreomacular traction : A prospective, non-randomized, open-label, single-arm, interventional pilot study." Master's thesis, University of Split, School of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:171:114777

Kowalski, Martin. "Pneumatic vitreolysis using the Drinking bird technique for management of vitreomacular traction : A prospective, non-randomized, open-label, single-arm, interventional pilot study." Master's thesis, University of Split, School of Medicine, 2019. https://urn.nsk.hr/urn:nbn:hr:171:114777

Kowalski, M. (2019). 'Pneumatic vitreolysis using the Drinking bird technique for management of vitreomacular traction : A prospective, non-randomized, open-label, single-arm, interventional pilot study', Master's thesis, University of Split, School of Medicine, accessed 27 December 2024, https://urn.nsk.hr/urn:nbn:hr:171:114777

Kowalski M. Pneumatic vitreolysis using the Drinking bird technique for management of vitreomacular traction : A prospective, non-randomized, open-label, single-arm, interventional pilot study [Master's thesis]. Split: University of Split, School of Medicine; 2019 [cited 2024 December 27] Available at: https://urn.nsk.hr/urn:nbn:hr:171:114777

M. Kowalski, "Pneumatic vitreolysis using the Drinking bird technique for management of vitreomacular traction : A prospective, non-randomized, open-label, single-arm, interventional pilot study", Master's thesis, University of Split, School of Medicine, Split, 2019. Available at: https://urn.nsk.hr/urn:nbn:hr:171:114777

Metadata
TitlePneumatic vitreolysis using the Drinking bird technique for management of vitreomacular traction : A prospective, non-randomized, open-label, single-arm, interventional pilot study
Title (croatian)Pneumatska vitreoliza pomoću „drinking bird“ tehnike u liječenju makularne trakcije : prospektivna, nerandomizirana, intervencijska pilot studija
AuthorMartin Kowalski
MentorLjubo Znaor (mentor)
Committee memberJoško Božić (predsjednik povjerenstva)
Committee memberDobrila Karlica Utrobičić (član povjerenstva)
Committee memberVeljko Rogošić (član povjerenstva)
GranterUniversity of Split
School of Medicine
(Ophthalmology)
Split
Defense date and country2019-07-12, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Ophthalmology
Abstract
Objectives: The aim of this study was to prove that pneumatic vitreolysis using the drinking bird technique is a safe and effective method for treatment of vitreomacular tractions. Materials and methods: Eleven patients who came to Department of Ophthalmology, University Hospital of Split, with OCT confirmed vitreomacular traction. Patients were treated with pneumatic vitreolysis using sulfur hexafluoride gas, after that they would do the “drinking bird” technique for the next two weeks. Patients were followed-up for 1 month. Results: Eleven eyes of nine patients affected by symptomatic vitreomacular traction (VMT) were included in this pilot study. Three out of eleven patients had broad (≥1500μm) VMT (N=3/11); Eight out of eleven patients had focal (≤1500μm) VMT (N=8/11). One week after the procedure, resolution of VMT had occurred in one out of eleven patients (N=1/11). Two weeks after treatment resolution had occurred in two out of eleven patients (N=2/11). Resolution had occurred in 12.5 percent of patients (N=1/8) with focal and thirty-three percent of patients with broad VMT (N=1/3). Eyes with focal VMT had a shorter time to resolution (mean time to resolution 1 week) than the eye with broad VMT (mean time to resolution 2 weeks). The improvement of the best-corrected visual acuity occurred in two out of three patients with traction resolution. Visual acuity improved in all eyes with achieved resolution from a mean pre-interventional VA of 0,4 on decimal scale to 0,5 postintervention. In none of the patients did intraocular pressure go beyond normal limits. In eyes without resolution macular adhesion length didn’t significantly decrease despite intravitreal gas injection. No complications following the procedure were recorded. Conclusions: Pneumatic vitreolysis using the “drinking bird” technique is a safe and effective alternative for the treatment of vitreomacular traction.
Abstract (croatian)
Ciljevi: Cilj ovog istraživanja je ispitati sigurnost i učinkovitost pneumatske vitreolize uz pomoć “drinking bird” tehnike u liječenju vitreomakularnih trakcija. Bolesnici i metode: Jedanaest bolesnika koji su došli u Kliniku za očne bolesti, KBC Split, s potvrđenom dijagnozom vitreomakularne trakcije. Bolesnici su bili podvrgnuti pneumatskoj vitreolizi s plinom sumporovim heksafloridom te su nakon zahvata iduća dva tjedna izvodili povremene nakolone gornjeg dijela tijela prema naprijed. Bolesnici su bili praćeni kroz mjesec dana. Rezultati: Tri bolesnika su imali široku vitreomakularnu trakciju, a osam bolesnika su imali usku vitreomakularnu trakciju. Na prvoj kontroli, tjedan dana nakon zahvata, rezolucija vitreomakularne trakcije nastupila je u jednom od ukupno jedanaest bolesniku (N=1/11). Nakon dva tjedna dva bolesnika imali su rezoluciju vitreomakularne trakcije. Rezolucija je nastupila u trinaest posto bolesnika s uskom i trideset tri posto sa širokom vitreomakularnom trakcijom. Do poboljšanja najbolje korigirane vidne oštrine došlo je u pedeset posto bolesnika u kojih je nastupila rezolucija trakcije. Niti jedan bolesnik nije imao postoperativno poviđenje intraokularnog tlaka. Nikakve komplikacije nakon zahvata nisu bile zabilježene. Zaključci: Pneumatska vitreoliza uz pomoć “drinking bird” tehnike je sigurna i valjana alternativa za liječenje vitreomakularnih trakcija.
Keywords
Keywords (croatian)
Languageenglish
URN:NBNurn:nbn:hr:171:114777
Study programmeTitle: Medical Studies in English
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence In copyright icon
Created on2019-07-16 11:33:25