Postoperative vitreous hemorrhage and residual retinal detachment in diabetic vitrectomy Kan Koizumi 1 , Tsunehiko Ikeda 1 , Hiroshi Sawa 1 , Tomiko Nakamura 2 , Miyuki Ishida 3 , Shigeru Kinoshita 1 1Dept of Ophthalmol, Kyoto Prefectural Univ of Med 2Dept of Ophthalmol, Aiseikai Yamashina Hosp 3Dept of Ophthalmol, Kyoto First Red Cross Hosp pp.1201-1205
Published Date 1998/6/15
DOI https://doi.org/10.11477/mf.1410905949
  • Abstract
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We performed vitreous surgery on 206 eyes of proliferative diabetic retinopathy during the foregoing 34 months. Extramacular tractional retinal detachment was present in 49 eyes. These eyes were additionally treated either with intraoperative pneumoretinopexy (28 eyes) or without (21 eyes). Postoperative vitreous rebleeding occurred in 11 eyes, involving 5 eyes with pneumoretinopexy and 6 eyes without. Preoperatively, the retinal detachment had involved more than 50% of the area posterior to the retinal vascular arcades in 38 eyes. In these 38 eyes, vitreous rebleeding occurred in 5 of 28 eyes (19%) with pneumoretinopexy and in 6 of 11 eyes (55%) without. The difference was significant (p <0.05). The finding shows the apparent effectiveness of pneumoretinopexy during vitreous surgery for proliferative diabetic retinopathy with extramacular retinal detachment.

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