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学科主题: 临床医学
题名:
LONG-TERM RESULTS OF VITRECTOMY WITHOUT ENDOTAMPONADE IN PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTIONAL RETINAL DETACHMENT
作者: Tao, Yong1; Jiang, Yan-Rong1; Li, Xiao-Xin1; Gao, Lei2,3; Jonas, Jost B.4
关键词: diabetic retinopathy ; proliferative diabetic retinopathy ; pars plana vitrectomy ; intraocular silicone oil ; intraocular gas
刊名: RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES
发表日期: 2010-03-01
DOI: 10.1097/IAE.0b013e3181d374a5
卷: 30, 期:3, 页:447-451
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Ophthalmology
研究领域[WOS]: Ophthalmology
关键词[WOS]: PARS-PLANA VITRECTOMY ; SILICONE OIL TAMPONADE ; FOLLOW-UP ; VITREORETINOPATHY ; MACULA
英文摘要:

Purpose: The purpose of this study was to evaluate the long-term results of vitreoretinal surgery without use of intraocular silicone oil or gas in patients with proliferative diabetic retinopathy and tractional retinal detachment.

Methods: A clinical interventional case-series study was conducted of 168 eyes of 150 patients with diabetic tractional retinal detachment who were consecutively treated by pars plana vitrectomy without endotamponade during a study period of 7 years. Per selection criterion, retinal defects did not develop or were not observed in any of the study participants before or during surgery. The surgery included pars plana vitrectomy, removal of epiretinal membranes, and retinal endolaser coagulation. Combined cataract surgery was performed in 33 eyes (20%). The mean follow-up was 23 +/- 14 months (range, 12-65 months).

Results: In 158 eyes (94%), the retina reattached after surgery and remained attached until the end of follow-up. Subretinal fluid absorbed completely within 2 months after surgery. Best-corrected visual acuity improved in 126 eyes (75%) and remained unchanged in 19 eyes (11%). Mean best-corrected visual acuity improved from 2.22 +/- 1.22 at baseline to 1.24 +/- 1.00 at final follow-up (P < 0.001). At the end of follow-up, 11 eyes (7%) showed iris neovascularization, and 9 of these 11 eyes developed iris neovascularization after surgery. In multivariate logistic regression, the only factor associated with postoperative rubeosis iridis was preexisting rubeosis iridis (odds ratio, 6.4).

Conclusion: Vitreoretinal surgery for tractional retinal detachment in proliferative diabetic retinopathy may not necessarily be combined with an ocular endotamponade if there were no pre- or intraoperative retinal breaks. RETINA 30: 447-451, 2010

语种: 英语
所属项目编号: Z08000303220801 ; 2009B04
项目资助者: Science and Technology Project of Beijing ; Beijing Novel Program
WOS记录号: WOS:000278548800011
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/57512
Appears in Collections:北京大学第二临床医学院_眼科_期刊论文

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作者单位: 1.Peking Univ, Peoples Hosp, Dept Ophthalmol, Beijing 100044, Peoples R China
2.Chinese Acad Med Sci, Inst Pathogen Biol, Beijing 100037, Peoples R China
3.Peking Union Med Coll, Beijing 100021, Peoples R China
4.Heidelberg Univ, Med Fac Mannheim, Dept Ophthalmol, Heidelberg, Germany

Recommended Citation:
Tao, Yong,Jiang, Yan-Rong,Li, Xiao-Xin,et al. LONG-TERM RESULTS OF VITRECTOMY WITHOUT ENDOTAMPONADE IN PROLIFERATIVE DIABETIC RETINOPATHY WITH TRACTIONAL RETINAL DETACHMENT[J]. RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES,2010,30(3):447-451.
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