Abstract |
The authors treated 1007 eyes with vitrectomy for complications of proliferative diabetic retinopathy. Indications for surgery were: vitreous hemorrhage, 353 eyes (35%); traction retinal detachment, 360 eyes (36%); combined traction-rhegmatogenous retinal detachment, 172 eyes (17%); and other progressive fibrovascular proliferation 122 eyes (12%). During the study period, the frequency of vitreous hemorrhage as an indication for surgery decreased from 42 to 25%, and other progressive fibrovascular proliferation increased from 5 to 22%. The frequency of traction and traction/rhegmatogenous retinal detachments did not change. The results of surgery varied according to the indication. Seventy-nine percent of eyes with vitreous hemorrhage obtained final vision of 5/200 or better. Similar results were obtained in 64% of eyes with traction detachment, 56% of eyes with rhegmatogenous detachment, and 81% of eyes with progressive fibrovascular proliferation. The percentage of eyes achieving final vision of 20/100 or better are as follows: vitreous hemorrhage, 48%; traction detachment, 27%; rhegmatogenous detachment, 24%; and progressive fibrovascular proliferation, 46%. The success rate improved in each anatomic category during the last 3 years of the study.
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Authors | J T Thompson, S de Bustros, R G Michels, T A Rice, B M Glaser |
Journal | Ophthalmology
(Ophthalmology)
Vol. 93
Issue 12
Pg. 1571-4
(Dec 1986)
ISSN: 0161-6420 [Print] United States |
PMID | 2433657
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Diabetic Retinopathy
(complications)
- Eye
(blood supply)
- Eye Diseases
(etiology, physiopathology, surgery)
- Hemorrhage
(etiology, physiopathology, surgery)
- Humans
- Neovascularization, Pathologic
(etiology, physiopathology, surgery)
- Retinal Detachment
(etiology, physiopathology, surgery)
- Vision, Ocular
- Vitrectomy
- Vitreous Body
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