Evaluation of Retinal Detachment After Diabetic Vitrectomy: Causes and Ways of Management

Ahmed M Abdelhadi, Hany Ahmed Helaly, Amr Abuelkeir Ophthalmology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptCorrespondence: Hany Ahmed HelalyOphthalmology Department, Faculty of Medicine, Alexandria University, 30 Roshdy Street, Roshdy, Alexandria, EgyptTel +20 1225466...

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Autores principales:	Abdelhadi AM, Helaly HA, Abuelkeir A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	vitrectomy proliferative diabetic retinopathy recurrent retinal detachment complications proliferative vitreoretinopathy retinal break. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1ff5d600471f4fdea120fd027bf11445
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spelling	oai:doaj.org-article:1ff5d600471f4fdea120fd027bf114452021-12-02T09:07:52ZEvaluation of Retinal Detachment After Diabetic Vitrectomy: Causes and Ways of Management1177-5483https://doaj.org/article/1ff5d600471f4fdea120fd027bf114452020-01-01T00:00:00Zhttps://www.dovepress.com/evaluation-of-retinal-detachment-after-diabetic-vitrectomy-causes-and--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Ahmed M Abdelhadi, Hany Ahmed Helaly, Amr Abuelkeir Ophthalmology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptCorrespondence: Hany Ahmed HelalyOphthalmology Department, Faculty of Medicine, Alexandria University, 30 Roshdy Street, Roshdy, Alexandria, EgyptTel +20 1225466733Email hany209209@yahoo.comPurpose: To assess the causes and the ways of management of rhegmatogenous retinal detachment (RRD) after pars plana vitrectomy (PPV) performed in diabetic patients with advanced diabetic eye disease.Methods: Retrospective review of the records of the patients who had undergone PPV for complicated proliferative diabetic retinopathy (PDR) was done. Cases with RRD after the PPV were analyzed in the study (n = 32). Preoperative, operative, and postoperative data of the patients were recorded. All patients were recruited for a final follow-up visit.Results: This retrospective case-control study included 400 eyes of 345 patients. Prolonged surgical duration increased the risk of developing RRD (odds ratio = 1.6342, p = 0.0321). The presence of intraoperative retinal breaks increased the risk of developing postoperative RRD (odds ratio = 2.2308, p = 0.0380). Also, complex diabetic detachment that needed for bimanual dissection of the membranes during surgery were associated with a higher risk of developing postoperative RRD (odds ratio = 2.7311, p = 0.0401).Conclusion: Rhegmatogenous retinal detachment following diabetic vitrectomy needs a further vitrectomy for the management and usually has poor visual outcome. Prolonged surgical duration, the presence of intraoperative retinal breaks, and the need for bimanual dissection of the membranes (major complex cases) during surgery were associated with higher risk of developing RRD postoperatively.Keywords: vitrectomy, proliferative diabetic retinopathy, recurrent retinal detachment, complications, proliferative vitreoretinopathy, retinal break  Abdelhadi AMHelaly HAAbuelkeir ADove Medical Pressarticlevitrectomyproliferative diabetic retinopathyrecurrent retinal detachmentcomplicationsproliferative vitreoretinopathyretinal break.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 53-60 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	vitrectomy proliferative diabetic retinopathy recurrent retinal detachment complications proliferative vitreoretinopathy retinal break. Ophthalmology RE1-994
spellingShingle	vitrectomy proliferative diabetic retinopathy recurrent retinal detachment complications proliferative vitreoretinopathy retinal break. Ophthalmology RE1-994 Abdelhadi AM Helaly HA Abuelkeir A Evaluation of Retinal Detachment After Diabetic Vitrectomy: Causes and Ways of Management
description	Ahmed M Abdelhadi, Hany Ahmed Helaly, Amr Abuelkeir Ophthalmology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptCorrespondence: Hany Ahmed HelalyOphthalmology Department, Faculty of Medicine, Alexandria University, 30 Roshdy Street, Roshdy, Alexandria, EgyptTel +20 1225466733Email hany209209@yahoo.comPurpose: To assess the causes and the ways of management of rhegmatogenous retinal detachment (RRD) after pars plana vitrectomy (PPV) performed in diabetic patients with advanced diabetic eye disease.Methods: Retrospective review of the records of the patients who had undergone PPV for complicated proliferative diabetic retinopathy (PDR) was done. Cases with RRD after the PPV were analyzed in the study (n = 32). Preoperative, operative, and postoperative data of the patients were recorded. All patients were recruited for a final follow-up visit.Results: This retrospective case-control study included 400 eyes of 345 patients. Prolonged surgical duration increased the risk of developing RRD (odds ratio = 1.6342, p = 0.0321). The presence of intraoperative retinal breaks increased the risk of developing postoperative RRD (odds ratio = 2.2308, p = 0.0380). Also, complex diabetic detachment that needed for bimanual dissection of the membranes during surgery were associated with a higher risk of developing postoperative RRD (odds ratio = 2.7311, p = 0.0401).Conclusion: Rhegmatogenous retinal detachment following diabetic vitrectomy needs a further vitrectomy for the management and usually has poor visual outcome. Prolonged surgical duration, the presence of intraoperative retinal breaks, and the need for bimanual dissection of the membranes (major complex cases) during surgery were associated with higher risk of developing RRD postoperatively.Keywords: vitrectomy, proliferative diabetic retinopathy, recurrent retinal detachment, complications, proliferative vitreoretinopathy, retinal break
format	article
author	Abdelhadi AM Helaly HA Abuelkeir A
author_facet	Abdelhadi AM Helaly HA Abuelkeir A
author_sort	Abdelhadi AM
title	Evaluation of Retinal Detachment After Diabetic Vitrectomy: Causes and Ways of Management
title_short	Evaluation of Retinal Detachment After Diabetic Vitrectomy: Causes and Ways of Management
title_full	Evaluation of Retinal Detachment After Diabetic Vitrectomy: Causes and Ways of Management
title_fullStr	Evaluation of Retinal Detachment After Diabetic Vitrectomy: Causes and Ways of Management
title_full_unstemmed	Evaluation of Retinal Detachment After Diabetic Vitrectomy: Causes and Ways of Management
title_sort	evaluation of retinal detachment after diabetic vitrectomy: causes and ways of management
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/1ff5d600471f4fdea120fd027bf11445
work_keys_str_mv	AT abdelhadiam evaluationofretinaldetachmentafterdiabeticvitrectomycausesandwaysofmanagement AT helalyha evaluationofretinaldetachmentafterdiabeticvitrectomycausesandwaysofmanagement AT abuelkeira evaluationofretinaldetachmentafterdiabeticvitrectomycausesandwaysofmanagement
_version_	1718398231021355008

Evaluation of Retinal Detachment After Diabetic Vitrectomy: Causes and Ways of Management

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