Surgical Failure of Vitrectomy in Proliferative Diabetic Retinopathy.
- Author:
Joon Young HYON
1
;
Jae Jun LEE
;
Hum CHUNG
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine #28 Yeongun-dong, Chongro-ku, Seoul, 110-744, Korea.
- Publication Type:Original Article
- Keywords:
Diabetes;
Diabetic retinopathy;
Vitrectomy
- MeSH:
Atrophy;
Corneal Opacity;
Diabetic Retinopathy*;
Glaucoma;
Glaucoma, Neovascular;
Hemorrhage;
Medical Records;
Membranes;
Optic Nerve;
Retina;
Risk Factors;
Silicone Oils;
Traction;
Visual Acuity;
Vitrectomy*;
Vitreous Hemorrhage
- From:Journal of the Korean Ophthalmological Society
2000;41(11):2363-2368
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors investigated the anatomical results of pars plana vitrectomy for diabetic retinopathy and analyzed the cases which resulted in poor functional outcome in spite of successful anatomical result. The medical records of 133 vitrectomized eyes for the complications of diabetic retinopathy were reviewed retrospectively.The surgical failure was defined as detached retina involving macula or media opacity due to vitreous hemorrhage on final examination. Fourteen eyes (10.5%)had surgical failure and risk factors associated with poor anatomical results included difficulty in bleeding control during the surgery and incomplete removal of traction membrane.Fourteen eyes (10.5%) had poor visual outcome (final visual acuity less than 0.01)even though they had successful anatomical result.Cataract was the cause in 5 eyes (3.8%), neovascular glaucoma in 4 eyes (3%), optic nerve atrophy in 2 eyes (1.5%), secondary glaucoma associated with silicone oil injection in 2 eyes (1.5%), and corneal opacity in 1 eye (0.8%). This study showed that the complete removal of traction membrane and intraoperative bleeding control were significantly associated with the anatomical success of diabetic vitrectomy.
