Is Chronic Kidney Disease Affecting the Postoperative Complications of Vitrectomy for Proliferative Diabetic Retinopathy?

Chronic kidney disease (CKD) is a well-known risk factor for postoperative complications in several surgical fields. However, although prevalent among diabetic candidates for vitrectomy, the effect of CKD on vitrectomy outcomes remains unclear. This study aimed at clarifying the relationship between...

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Autores principales:	Yusuke Kameda, Tadashiro Saeki, Ko Hanai, Yuta Suzuki, Yasuko Uchigata, Tetsuya Babazono, Shigehiko Kitano
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	proliferative diabetic retinopathy chronic kidney disease vitrectomy vitreous hemorrhage neovascular glaucoma Medicine R
Acceso en línea:	https://doaj.org/article/0d808f15b824488f8ea9f13536667d86
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spelling	oai:doaj.org-article:0d808f15b824488f8ea9f13536667d862021-11-25T18:01:36ZIs Chronic Kidney Disease Affecting the Postoperative Complications of Vitrectomy for Proliferative Diabetic Retinopathy?10.3390/jcm102253092077-0383https://doaj.org/article/0d808f15b824488f8ea9f13536667d862021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5309https://doaj.org/toc/2077-0383Chronic kidney disease (CKD) is a well-known risk factor for postoperative complications in several surgical fields. However, although prevalent among diabetic candidates for vitrectomy, the effect of CKD on vitrectomy outcomes remains unclear. This study aimed at clarifying the relationship between CKD and the occurrence of vitrectomy-related complications in patients with proliferative diabetic retinopathy (PDR). The 6-month incidences of vitreous hemorrhage (VH) and neovascular glaucoma (NVG) following vitrectomy for PDR were compared among the following groups: stages 1–2 CKD (60 patients), stages 3–5 CKD (70 patients not on hemodialysis), and hemodialysis (HD; 30 patients). We also determined whether the deterioration of the estimated glomerular filtration rate (eGFR) was associated with post-vitrectomy events. The incidence of VH was significantly higher in the stages 3–5 CKD group (43%) than in the stages 1–2 CKD (10%) and HD (10%) groups. NVG was more common in the stages 3–5 CKD group (17%) than in the stages 1–2 CKD (2%) and HD (0%) groups. The reduced estimated glomerular filtration rate (eGFR) was the only significant variable associated with post-vitrectomy VH and NVG. Patients with PDR and CKD, particularly those with lower eGFR, might be at risk for post-vitrectomy VH and NVG.Yusuke KamedaTadashiro SaekiKo HanaiYuta SuzukiYasuko UchigataTetsuya BabazonoShigehiko KitanoMDPI AGarticleproliferative diabetic retinopathychronic kidney diseasevitrectomyvitreous hemorrhageneovascular glaucomaMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5309, p 5309 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	proliferative diabetic retinopathy chronic kidney disease vitrectomy vitreous hemorrhage neovascular glaucoma Medicine R
spellingShingle	proliferative diabetic retinopathy chronic kidney disease vitrectomy vitreous hemorrhage neovascular glaucoma Medicine R Yusuke Kameda Tadashiro Saeki Ko Hanai Yuta Suzuki Yasuko Uchigata Tetsuya Babazono Shigehiko Kitano Is Chronic Kidney Disease Affecting the Postoperative Complications of Vitrectomy for Proliferative Diabetic Retinopathy?
description	Chronic kidney disease (CKD) is a well-known risk factor for postoperative complications in several surgical fields. However, although prevalent among diabetic candidates for vitrectomy, the effect of CKD on vitrectomy outcomes remains unclear. This study aimed at clarifying the relationship between CKD and the occurrence of vitrectomy-related complications in patients with proliferative diabetic retinopathy (PDR). The 6-month incidences of vitreous hemorrhage (VH) and neovascular glaucoma (NVG) following vitrectomy for PDR were compared among the following groups: stages 1–2 CKD (60 patients), stages 3–5 CKD (70 patients not on hemodialysis), and hemodialysis (HD; 30 patients). We also determined whether the deterioration of the estimated glomerular filtration rate (eGFR) was associated with post-vitrectomy events. The incidence of VH was significantly higher in the stages 3–5 CKD group (43%) than in the stages 1–2 CKD (10%) and HD (10%) groups. NVG was more common in the stages 3–5 CKD group (17%) than in the stages 1–2 CKD (2%) and HD (0%) groups. The reduced estimated glomerular filtration rate (eGFR) was the only significant variable associated with post-vitrectomy VH and NVG. Patients with PDR and CKD, particularly those with lower eGFR, might be at risk for post-vitrectomy VH and NVG.
format	article
author	Yusuke Kameda Tadashiro Saeki Ko Hanai Yuta Suzuki Yasuko Uchigata Tetsuya Babazono Shigehiko Kitano
author_facet	Yusuke Kameda Tadashiro Saeki Ko Hanai Yuta Suzuki Yasuko Uchigata Tetsuya Babazono Shigehiko Kitano
author_sort	Yusuke Kameda
title	Is Chronic Kidney Disease Affecting the Postoperative Complications of Vitrectomy for Proliferative Diabetic Retinopathy?
title_short	Is Chronic Kidney Disease Affecting the Postoperative Complications of Vitrectomy for Proliferative Diabetic Retinopathy?
title_full	Is Chronic Kidney Disease Affecting the Postoperative Complications of Vitrectomy for Proliferative Diabetic Retinopathy?
title_fullStr	Is Chronic Kidney Disease Affecting the Postoperative Complications of Vitrectomy for Proliferative Diabetic Retinopathy?
title_full_unstemmed	Is Chronic Kidney Disease Affecting the Postoperative Complications of Vitrectomy for Proliferative Diabetic Retinopathy?
title_sort	is chronic kidney disease affecting the postoperative complications of vitrectomy for proliferative diabetic retinopathy?
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/0d808f15b824488f8ea9f13536667d86
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Is Chronic Kidney Disease Affecting the Postoperative Complications of Vitrectomy for Proliferative Diabetic Retinopathy?

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