2005Chinese Journal of Practical OphthalmologyRequires access

The complication of vitrectomy in treatment of proliferative diabetic retinopathy

Liu Mao-xion

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Abstract

Objective To analyze the complications of vitrectomy in treatment of proliferative diabetic retinopathy. Methods 42 cases 48 eyes of PDR treated with vitrectomy were followed up 6~40 months,observing the intraoperative or postoperative complications. Results Among the complications of these cases,introgenic retina hole occured in 9 eyes(18.8%);intraoperative vitreous hemorrhage in 6 eyes(12.5%),postoperative vitreous hemorrhage in 8 eyes(16.7%);corneal edema in 10 eyes(20.8%);rubeosis iridis and neovascular glaucoma in 5 eyes(10.4%);retinal detachment in 5 eyes(10.4%);complicated cataract in 21eyes(43.8%)and CRAO in 2eyes(4.2%). Conclusions The main influencing factor were related with the severity of PDR;surgical skills and wether dealing with every pathological area correctly and thoroughly.Operating any pathological area correctly and noticing systemic status momently would reduce the complications to some degree.

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Objective To analyze the complications of vitrectomy in treatment of proliferative diabetic retinopathy. Methods 42 cases 48 eyes of PDR treated with vitrectomy were followed up 6~40 months,observing the intraoperative or postoperative complications. Results Among the complications of these cases,introgenic retina hole occured in 9 eyes(18.8%);intraoperative vitreous hemorrhage in 6 eyes(12.5%),postoperative vitreous hemorrhage in 8 eyes(16.7%);corneal edema in 10 eyes(20.8%);rubeosis iridis and neovascular glaucoma in 5 eyes(10.4%);retinal detachment in 5 eyes(10.4%);complicated cataract in 21eyes(43.8%)and CRAO in 2eyes(4.2%). Conclusions The main influencing factor were related with the severity of PDR;surgical skills and wether dealing with every pathological area correctly and thoroughly.Operating any pathological area correctly and noticing systemic status momently would reduce the complications to some degree.

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Available abstract

Objective To analyze the complications of vitrectomy in treatment of proliferative diabetic retinopathy. Methods 42 cases 48 eyes of PDR treated with vitrectomy were followed up 6~40 months,observing the intraoperative or postoperative complications. Results Among the complications of these cases,introgenic retina hole occured in 9 eyes(18.8%);intraoperative vitreous hemorrhage in 6 eyes(12.5%),postoperative vitreous hemorrhage in 8 eyes(16.7%);corneal edema in 10 eyes(20.8%);rubeosis iridis and neovascular glaucoma in 5 eyes(10.4%);retinal detachment in 5 eyes(10.4%);complicated cataract in 21eyes(43.8%)and CRAO in 2eyes(4.2%). Conclusions The main influencing factor were related with the severity of PDR;surgical skills and wether dealing with every pathological area correctly and thoroughly.Operating any pathological area correctly and noticing systemic status momently would reduce the complications to some degree.

Key concepts: Medicine, Vitrectomy, Diabetic retinopathy, Ophthalmology, Vitreous hemorrhage, Retinal detachment, Complication, Pathological

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