title: Visual outcome of 25-gauge microincision vitrectomy surgery in diabetic vitreous haemorrhage.
abstract: OBJECTIVE
  To assess the visual outcome and complications of 25-gauge micro incision vitrectomy surgery (MIVS) in diabetic vitreous haemorrhage.
  
  
  METHODS
  This Quasi Experimental study was conducted at LRBT, Tertiary eye care hospital Karachi, from February 2012 to January 2013. Sixty eyes of sixty patients with uncontrolled type II diabetes mellitus (DM) were included. There were 43 (71.7%) males and 17 (28.3%) females. Age range was 40 - 60 years. All randomly selected patients underwent 25-gauge sutureless micro incision vitrectomy surgery for diabetic vitreous haemorrhage. Main outcomes measured were best corrected visual acuity (BCVA) assessed with logMAR and post-operative complications. Follow ups were at one day, one week, one month, three months and six months post-operatively.
  
  
  RESULTS
  Best corrected visual acuity (BCVA) gradually improved in majority of subjects in each subsequent follow up visit. Preoperative visual acuity was 1.023 ±0.226 logMAR, which was improved after final follow up to 0.457±0.256 and P-value was < 0.001. Five patients developed recurrent vitreous haemorrhage during study period, one patient developed cataract (1.7%), one (1.7%) had ocular hypotony defined as intraocular pressure < 5 mmHg and one (1.7%) developed endophthalmitis.
  
  
  CONCLUSIONS
  25-gauge micro incision vitrectomy surgery (MIVS) is an effective sutureless parsplana vitrectomy surgery which has good visual outcome in diabetic vitreous haemorrhage with minimum manageable complications.
authors.affiliation: Dr. Burhan Abdul Majid Khan, FCPS (Ophth). Ophthalmologist, LRBT Free Base Eye Hospital, Korangi 2 ½, Karachi, Pakistan.
authors.forename: Burhan Abdul Majid
authors.initials: BA
authors.lastname: Khan
authors.affiliation: Dr. Syed Fawad Rizvi, FCPS (Ophth), MCPS (Ophth). Chief Consultant Ophthalmologist, LRBT Free Base Eye Hospital, Korangi 2 ½, Karachi, Pakistan.
authors.forename: Syed Fawad
authors.initials: SF
authors.lastname: Rizvi
authors.affiliation: Dr. Syed Asaad Mahmood, MBBS, FCPS-I (Ophth). Resident, LRBT Free Base Eye Hospital, Korangi 2 ½, Karachi, Pakistan.
authors.forename: Syed Asaad
authors.initials: SA
authors.lastname: Mahmood
authors.affiliation: Dr. Washoo Mal, FCPS (Ophth). Assistant Ophthalmologist, LRBT Free Base Eye Hospital, Korangi 2 ½, Karachi, Pakistan.
authors.forename: Washoo
authors.initials: W
authors.lastname: Mal
authors.affiliation: Dr. Shakir Zafar, FCPS (Ophth), MCPS (Ophth). Consultant Ophthalmologist, LRBT Free Base Eye Hospital, Korangi 2 ½, Karachi, Pakistan.
authors.forename: Shakir
authors.initials: S
authors.lastname: Zafar
keywords: 25-gauge micro incision vitrectomy surgery; Diabetic retinopathy; Vitreous haemorrhage