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VITREOUS HEMORRHAGE AFTER THE 25-GAUGE TRANSCONJUNCTIVAL SUTURELESS VITRECTOMY FOR PROLIFERATIVE DIABETIC RETINOPATHY

Cited 18 time in Web of Science Cited 26 time in Scopus
Authors
Lee, Byung Joo; Yu, Hyeong Gon
Issue Date
2010-12
Publisher
LIPPINCOTT WILLIAMS & WILKINS
Citation
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES; Vol.30 10; 1671-1677
Keywords
25-gauge transconjunctival sutureless vitrectomyrisk factorproliferative diabetic retinopathydiabetic vitrectomypostoperative vitreous hemorrhage
Abstract
Purpose: To address the incidence, clinical course, and risk factors for postoperative vitreous hemorrhage (PVH) after a 25-gauge transconjunctival sutureless vitrectomy for proliferative diabetic retinopathy. Methods: A consecutive series of eyes underwent 25-gauge transconjunctival sutureless vitrectomies for proliferative diabetic retinopathy. The best-corrected visual acuities and intraocular pressures were measured, and the complications were prospectively evaluated 1 day, 1 week, 1 month, and 3 months postoperatively, then as needed. Results: The mean postoperative follow-up was 11.0 +/- 6.3 months (range, 6-28 months). Of 93 eyes, 42 had PVH on Day 1 (immediate PVH) but the presence and degree of PVH did not affect visual recovery and only 4 eyes did not clear for 1 month (persistent PVH). Recurrent PVH occurred in 11 eyes. Eight eyes had hypotony on Day 1, and patients who experienced postoperative hypotony had an 11.20-fold increased risk of immediate PVH > Grade 2. In the cases that needed intravitreal tamponade, the risk of recurrent PVH was 3.03-fold higher. Conclusion: After 25-gauge transconjunctival sutureless vitrectomies for proliferative diabetic retinopathy, postoperative hypotony and the need for tamponade increased the rates of immediate and recurrent PVH, respectively. Immediate PVH occurred in 45.2% of the patients but did not affect early visual recovery. A 25-gauge transconjunctival sutureless vitrectomy resulted in a favorable incidence of recurrent PVH (11.8%) during the first 6 months. RETINA 30:1671-1677, 2010
ISSN
0275-004X
Language
English
URI
http://hdl.handle.net/10371/77845
DOI
https://doi.org/10.1097/IAE.0b013e3181dcfb79
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College of Medicine/School of Medicine (의과대학/대학원)Ophthalmology (안과학전공)Journal Papers (저널논문_안과학전공)
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