Vitrectomy for diabetic retinopathy in patients under hemodialysis Hiroyuki Shimada 1 , Yukihiro Sato 1 , Mizuo Matsui 1 , Harumi Seto 2 1Dept of Ophthalmol, Nihon Univ Sch of Med 22nd Dept of Internal Med, Nihon Univ Sch of Med pp.811-815
Published Date 1994/5/15
DOI https://doi.org/10.11477/mf.1410903787
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We performed vitrectomy for proliferative dia-betic retinopathy in 26 eyes of 18 patients under maintenance hemodialysis therapy. The findings were compared with another series of vitrectomy in 136 eyes of 102 diabetic patients who did not receive hemodialysis. In the hemodialysis group, visual acuity improved in 11 of 13 eyes without retinal detachment and 4 of 13 detached eyes. The differ-ence was significant (p< 0.02). Eventual blindness resulted in 6 retinal detachment eyes (46%) and in none of nondetached eyes. In eyes without retinaldetachment, no difference was present in the rate of visual improvement between hemodialysis group (85%) and non-hemodialysis group (89%). Inci-dence of postoperative fibrin formation, rubeotic glaucoma and vitreous hemorrhage was significant-ly less in the non-hemodialysis group than in the hemodialysis group. In the hemodialysis group, incidence of postoperative complications was higher in eyes with retinal detachment than in those without. The findings show that proliferative dia-betic retinopathy with retinal detachment in patients under hemodialysis is poor candidate for vitrectomy because of poor prognosis.

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