Japanese

Ten-year visual outcome following vitreous surgery for proliferative diabetic retinopathy Yukio Sassa 1,2 , Masato Akiyama 2 , Shigeo Yoshida 2 , Yusuke Saeki 1 , Rie Takahashi 1 , Tomoko Mitsutake 1 , Toshihiro Kono 1 1Dept of Ophthalmol, Fukuoka Univ Chikushi Hosp 2Dept of Ophthalmol, Grad Sch of Med Sci, Kyusyu Univ pp.1269-1275
Published Date 2015/8/15
DOI https://doi.org/10.11477/mf.1410211462
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Abstract. Purpose:To present a report on 10-year visual outcome following vitreous surgery for proliferative diabetic retinopathy. Cases and Method:We reviewed 109 eyes of 73 cases who received vitreous surgery for proliferative diabetic retinopathy at Fukuoka University Chikushi Hospital during 12 years through 2002 and who were followed up for 10 years or longer after surgery. The series comprised 62 male and 47 female eyes. The age ranged from 23 to 71 years, average 51 years, at the time of initial surgery. All the cases except 2 eyes had been diagnosed with type 1 diabetes mellitus. Visual acuity was evaluated in terms of logMAR. Findings:Visual acuity averaged 0.34 6 months after surgery and 0.22 ten years after surgery. The difference was not significant. Ten-year visual acuity was poorer in eyes with macular traction, retinal detachment, or multiple surgery. Ischemic heart failure was present in 15 eyes. Visual acuity averaged 0.23 6 months after surgery and 0.02 ten years after surgery. There were 6 eyes that developed cerebral infarction. Visual acuity averaged 0.07 6 months after surgery and 0.06 ten years after surgery. Conclusion:Factors for 10-year visual outcome comprised macular traction, retinal detachment, multiple surgery, ischemic heart failure, and cerebral infarction.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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