The Benefits of Triamcinolone-Assisted Pars Plana Vitrectomy for Proliferative Diabetic Retinopathy.
- Author:
Sun Im YU
1
;
Hyun Woong KIM
Author Information
1. Department of Ophthalmology, Busan Paik Hospital, College of Medicine, Inje University, Pusan, Korea. maekbak@hanmail.net
- Publication Type:Original Article
- Keywords:
Advantages;
Complications;
Proliferative diabetic retinopathy;
Triamcinolone-assisted pars plana vitrectomy
- MeSH:
Diabetic Retinopathy*;
Incidence;
Membranes;
Ocular Hypertension;
Postoperative Complications;
Retinal Detachment;
Retrospective Studies;
Traction;
Triamcinolone Acetonide;
Vitrectomy*;
Vitreous Hemorrhage
- From:Journal of the Korean Ophthalmological Society
2006;47(9):1427-1434
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the advantages and complications of triamcinolone acetonide (TA)-assisted pars plana vitrectomy (PPV) for proliferative diabetic retinopathy (PDR). METHODS: We retrospectively examined 110 eyes with vitreous hemorrhage or tractional retinal detachment resulting from a PDR after surgery. The TA-assited PPV [TA(+)] consisted of 58 eyes, and the conventional PPV[TA(-)]group consisted of 52 eyes. The improvement in vision, residual vitreous cortex (VC) pattern, and postoperative complications were studied. RESULTS: The residual VC pattern was divided into 3 groups: the focal type in 34 eyes (58.6%): the diffuse type in 22 eyes (37.9%): and no residual VC, seen in 2 eyes (3.4%). The TA (+) group had a lower incidence of rebleeding (p=0.0149) and of a preretinal membrane (p=0.0138) than the TA (-) group. No apparent persistant ocular hypertension occurred in any eyes. CONCLUSIONS: Triamcinolone-assisted PPV appears to be potentially useful to remove residual VC and to protect from postoperative complications.
