Lens removal in diabetic vitrectomy and postoperative complications Zeon Lee 1 , Yukihiro Sato 1 , Masako Shimizu 1 , Hiroyuki Shimada 1 1Dept of Ophthalmol, Nihon Univ Sch of Med pp.1123-1126
Published Date 1998/6/15
DOI https://doi.org/10.11477/mf.1410905932
  • Abstract
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We reviewed 299 diabetic eyes treated by vitrectomy during the past 3 years. The cases were followed up for 6 months or longer after surgery. The lens was kept intact in 171 eyes (57%). The lens was removed leaving either the anterior or posterior capsule in 128 eyes (43% ) . There was no difference between two groups regarding the postoperative incidence of postoperative rubeosis iridis or neovascular glaucoma. This finding was independent of whether vitrectomy was performed for vitreous hemorrhage, fibrovascular proliferation or tractional retinal detachment. Vitreous rebleeding was significantly more frequent in the former group. Simultaneous intraocular lens implantation in 70 eyes treated by fluid/air exchange also showed lesser incidence of postoperative complications, suggesting the usefulness of this procedure.

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