Surgical outcomes of vitrectomy in patients with complications of diabetic retinopathy at a tertiary care center
Abstract
OBJECTIVE: Surgical outcomes of vitrectomy in patients with complications of diabetic retinopathy in a tertiary care center.
METHODOLOGY: In this prospective, observational, interventional study, the fifty eyes underwent pars plan vitrectomy (PPV) for complications of proliferative diabetic retinopathy (PDR) from January to September 2019. The visual success for patients who underwent PPV was determined by the estimation of best-corrected visual acuity (BCVA) and central macular thickness (CMT) during the follow-up period. Statistical package for social science (SPSS) version 20 was used for data analysis.
RESULTS: In this study, 86% of eyes achieved BCVA of better than 20/200. The common complication was an iatrogenic break (20%) during a surgical procedure; other complications include increase intraocular pressure (20%), hypotony (12%), and postoperative vitreous hemorrhage (14%). The use of intraoperative anti-VGGF was found to reduce intra-operative and recurrent vitreous hemorrhage with good visual outcomes.
CONCLUSION: Despite medical advances in the management of patients with diabetes, mixed-gauge vitrectomy remains essential for visual rehabilitation of selected patients with non-clearing VH and tractional complications of PDR, and the use of AVEGF pre and postoperative enhance our ability to achieve the good visual outcome.
KEYWORDS: Vitrectomy, Intravitreal anti-VEGF, PDR complications, 23 G, 25 G, 27 G.
Additional Files
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Journal of Liaquat University of Medical & Health Sciences
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Submission of a manuscript to the journal implies that all authors have read and agreed to the content of the undertaking form or the Terms and Conditions.
When an article is accepted for publication, the author(s) retain the copyright and are required to grant the publisher the right of first publication and other non-exclusive publishing rights to JLUMHS.
Articles published in the Journal of Liaquat University of Medical & health sciences are open access articles under a Creative Commons Attribution-Noncommercial - Share Alike 4.0 License. This license permits use, distribution and reproduction in any medium; provided the original work is properly cited and initial publication in this journal. This is in accordance with the BOAI definition of open access. In addition to that users are allowed to remix, tweak and build upon the work non-commercially as long as appropriate credit is given and the new creations are licensed under the identical terms. Or, in certain cases it can be stated that all articles and content there in are published under creative commons license unless stated otherwise.