Outcome of vitrectomy for untreated diabetic retinopathy with tractional retinal detachment Kazunori Takahashi 1 , Fumiki Kobayashi 1 , Makoto Chikuda 1 1Dept of Ophthalmol, Dokkyo Univ Sch of Med, Koshigaya Hosp pp.1119-1121
Published Date 1998/6/15
DOI https://doi.org/10.11477/mf.1410905931
  • Abstract
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We reviewed the result of vitreous surgery on 19 eyes of proliferative diabetic retinopathy with tractional retinal detachment. These eyes had received no specific treatment before. The macula was affected either by detachment or traction. Conventional vitrectomy was performed on 15 eyes and two-step vitrectomy on 4 eyes. In the 15 eyes in the former group, iatrogenic tear formed in 12 eyes (80%) . Intraoperative fluid/air exchange was performed in 13 eyes (87%). Postoperative proliferative vitreoretinopathy (PVR) developed in 5 eyes (33%) . There was no iatrogenic tear formation nor PVR in the 4 eyes in the latter group. Visual acuity of 0.1 or better was obtained in 3 eyes (20%) in the former group and in 3 eyes (75%) in the latter. The findings show the potential usefulness of two-step vitrectomy in selected cases.

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