Methods and outcome of vitreous surgery for different types of proliferative diabetic retinopathy Toshihiro Kono 1 , Kenji Oshima 2 1Dept of Ophthalmol, Fukuoka Univ Chikushi Hosp 2Dept of Ophthalmol, Sch of Med Fukuoka Univ pp.93-98
Published Date 1997/1/15
DOI https://doi.org/10.11477/mf.1410905210
  • Abstract
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We performed vitreous surgery as the first surgical treatment on 71 eyes of proliferative diabetic retinopathy during the forgoing 2-year period. Additional lensectomy and/or scleral encircling were perfomed on eyes with active retinopathy, vitreous traction in the periphery, rhegmatogenous retinal detachment or proliferative lesions in the periphery. The surgery was successful in 64 eyes, 90%, when evaluated after the follow up of 9 months or more. Second surgery with lensectomy was performed in 6 of the 7 eyes without initial success. A total of 70 eyes, 98.6%, could be cured at the final evaluation. We advocate subtotal removal of the vitreous and proliferative tissue with additional intraoperative photocoagulation after reattachment of the retina. Detailed appraisal of the intraocular findings and due selection of surgical methods are essential to achieve success.

Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.


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