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VITREOUS HEMORRHAGE AFTER THE 25-GAUGE TRANSCONJUNCTIVAL SUTURELESS VITRECTOMY FOR PROLIFERATIVE DIABETIC RETINOPATHY
Cited 21 time in
Web of Science
Cited 32 time in Scopus
- Authors
- 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 vitrectomy ; risk factor ; proliferative diabetic retinopathy ; diabetic vitrectomy ; postoperative 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
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