Long-term outcomes of sutureless 25-G+ pars-plana vitrectomy for the management of diabetic tractional retinal detachment

Purpose To evaluate the short- and long-term surgical and clinical outcomes in eyes with diabetic tractional retinal detachment (TRD) undergoing 25-G+ pars-plana vitrectomy (PPV). Methods A total of 238 patients were reviewed for inclusion in this study. A retrospective cohort study of 109 eyes of 7...

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Bibliographic Details
Published in:Graefe's archive for clinical and experimental ophthalmology 2017-02, Vol.255 (2), p.255-261
Main Authors: Mikhail, Mikel, Ali-Ridha, Andre, Chorfi, Sarah, Kapusta, Michael A.
Format: Article
Language:English
Subjects:
Diabetic Retinopathy - complications
Diabetic Retinopathy - surgery
Endotamponade - methods
Female
Follow-Up Studies
Humans
Incidence
Male
Medicine
Medicine & Public Health
Middle Aged
Ophthalmology
Postoperative Complications - epidemiology
Quebec - epidemiology
Retinal Detachment - etiology
Retinal Detachment - surgery
Retinal Disorders
Retrospective Studies
Time Factors
Treatment Outcome
Visual Acuity
Vitrectomy - methods
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Summary:Purpose To evaluate the short- and long-term surgical and clinical outcomes in eyes with diabetic tractional retinal detachment (TRD) undergoing 25-G+ pars-plana vitrectomy (PPV). Methods A total of 238 patients were reviewed for inclusion in this study. A retrospective cohort study of 109 eyes of 73 patients operated on for diabetic TRD were included. All eyes received intraocular tamponade of air, sulfur hexafluoride, octofluropropane or silicone oil. All patients were followed up for a minimum period of one year. Results The mean age of all patients at surgery was 53.9 years ± 9.2, while the mean duration of diabetes was 18.7 ± 10.4 years. The mean length of follow-up was 923 ± 87 days after surgery (range, 432–1792 days). Thirty-two cases (29.3 %) had an associated rhegmatogenous component. Mean BCVA improved from logarithm minimum angle of resolution (logMAR) 1.17 (20/300) to 0.812 (20/130) ( p  
ISSN:0721-832X
1435-702X
DOI:10.1007/s00417-016-3442-7