Risk factors for requirement of filtration surgery after vitrectomy in patients with proliferative diabetic retinopathy

Masashi Sakamoto, Ryuya Hashimoto, Izumi Yoshida, Takatoshi Maeno Department of Ophthalmology, Sakura Medical Center of Toho University, Shimoshizu, Sakura, Japan Purpose: We retrospectively reviewed patients with postoperative neovascular glaucoma (NVG) after vitrectomy for proliferative diabetic...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Sakamoto M, Hashimoto R, Yoshida I, Maeno T
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	neovascular glaucoma proliferative diabetic retinopathy vitrectomy gas tamponade Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/4c5316525eab408c8eb886237adbdf5a
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:4c5316525eab408c8eb886237adbdf5a
record_format	dspace
spelling	oai:doaj.org-article:4c5316525eab408c8eb886237adbdf5a2021-12-02T01:14:03ZRisk factors for requirement of filtration surgery after vitrectomy in patients with proliferative diabetic retinopathy1177-5483https://doaj.org/article/4c5316525eab408c8eb886237adbdf5a2018-04-01T00:00:00Zhttps://www.dovepress.com/risk-factors-for-requirement-of-filtration-surgery-after-vitrectomy-in-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Masashi Sakamoto, Ryuya Hashimoto, Izumi Yoshida, Takatoshi Maeno Department of Ophthalmology, Sakura Medical Center of Toho University, Shimoshizu, Sakura, Japan Purpose: We retrospectively reviewed patients with postoperative neovascular glaucoma (NVG) after vitrectomy for proliferative diabetic retinopathy to investigate how variables assessed before, during, and after vitrectomy are associated with the requirement for filtration surgery. Patients and methods: The subjects in this retrospective, observational, comparative study were 55 consecutive patients (61 eyes) who underwent vitrectomy for proliferative diabetic retinopathy at Toho University Sakura Medical Center between December 2011 and November 2016, were followed up for at least 6 months after surgery, and developed NVG within 2 years after surgery. They comprised 44 men and 11 women of mean age 52.4±9.1 years, who were followed up for a mean 7.1±6.1 months. We collected data on the following 16 variables: sex, age, history of panretinal photocoagulation completed within 3 months before vitrectomy, presence/absence of a lens, obvious iris/angle neovascularization, tractional retinal detachment, diabetic macular edema, vitreous hemorrhage, visual acuity and intraocular pressure before vitrectomy and at the onset of NVG, glycated hemoglobin, fasting blood glucose, estimated glomerular filtration rate, and use of intraoperative gas tamponade. Results: Logistic regression analysis with the backward elimination method identified preoperative fasting hyperglycemia (P=0.08), high intraocular pressure at the onset of NVG (P=0.04), and use of gas tamponade during vitrectomy (P=0.008) to be significant risk factors for requirement of filtration surgery. Conclusion: Preoperative fasting hyperglycemia, high intraocular pressure at the onset of NVG, and use of gas tamponade during vitrectomy predispose patients to require filtration surgery in the event of postoperative NVG. Keywords: neovascular glaucoma, proliferative diabetic retinopathy, vitrectomy, gas tamponadeSakamoto MHashimoto RYoshida IMaeno TDove Medical Pressarticleneovascular glaucomaproliferative diabetic retinopathyvitrectomygas tamponadeOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 733-738 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	neovascular glaucoma proliferative diabetic retinopathy vitrectomy gas tamponade Ophthalmology RE1-994
spellingShingle	neovascular glaucoma proliferative diabetic retinopathy vitrectomy gas tamponade Ophthalmology RE1-994 Sakamoto M Hashimoto R Yoshida I Maeno T Risk factors for requirement of filtration surgery after vitrectomy in patients with proliferative diabetic retinopathy
description	Masashi Sakamoto, Ryuya Hashimoto, Izumi Yoshida, Takatoshi Maeno Department of Ophthalmology, Sakura Medical Center of Toho University, Shimoshizu, Sakura, Japan Purpose: We retrospectively reviewed patients with postoperative neovascular glaucoma (NVG) after vitrectomy for proliferative diabetic retinopathy to investigate how variables assessed before, during, and after vitrectomy are associated with the requirement for filtration surgery. Patients and methods: The subjects in this retrospective, observational, comparative study were 55 consecutive patients (61 eyes) who underwent vitrectomy for proliferative diabetic retinopathy at Toho University Sakura Medical Center between December 2011 and November 2016, were followed up for at least 6 months after surgery, and developed NVG within 2 years after surgery. They comprised 44 men and 11 women of mean age 52.4±9.1 years, who were followed up for a mean 7.1±6.1 months. We collected data on the following 16 variables: sex, age, history of panretinal photocoagulation completed within 3 months before vitrectomy, presence/absence of a lens, obvious iris/angle neovascularization, tractional retinal detachment, diabetic macular edema, vitreous hemorrhage, visual acuity and intraocular pressure before vitrectomy and at the onset of NVG, glycated hemoglobin, fasting blood glucose, estimated glomerular filtration rate, and use of intraoperative gas tamponade. Results: Logistic regression analysis with the backward elimination method identified preoperative fasting hyperglycemia (P=0.08), high intraocular pressure at the onset of NVG (P=0.04), and use of gas tamponade during vitrectomy (P=0.008) to be significant risk factors for requirement of filtration surgery. Conclusion: Preoperative fasting hyperglycemia, high intraocular pressure at the onset of NVG, and use of gas tamponade during vitrectomy predispose patients to require filtration surgery in the event of postoperative NVG. Keywords: neovascular glaucoma, proliferative diabetic retinopathy, vitrectomy, gas tamponade
format	article
author	Sakamoto M Hashimoto R Yoshida I Maeno T
author_facet	Sakamoto M Hashimoto R Yoshida I Maeno T
author_sort	Sakamoto M
title	Risk factors for requirement of filtration surgery after vitrectomy in patients with proliferative diabetic retinopathy
title_short	Risk factors for requirement of filtration surgery after vitrectomy in patients with proliferative diabetic retinopathy
title_full	Risk factors for requirement of filtration surgery after vitrectomy in patients with proliferative diabetic retinopathy
title_fullStr	Risk factors for requirement of filtration surgery after vitrectomy in patients with proliferative diabetic retinopathy
title_full_unstemmed	Risk factors for requirement of filtration surgery after vitrectomy in patients with proliferative diabetic retinopathy
title_sort	risk factors for requirement of filtration surgery after vitrectomy in patients with proliferative diabetic retinopathy
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/4c5316525eab408c8eb886237adbdf5a
work_keys_str_mv	AT sakamotom riskfactorsforrequirementoffiltrationsurgeryaftervitrectomyinpatientswithproliferativediabeticretinopathy AT hashimotor riskfactorsforrequirementoffiltrationsurgeryaftervitrectomyinpatientswithproliferativediabeticretinopathy AT yoshidai riskfactorsforrequirementoffiltrationsurgeryaftervitrectomyinpatientswithproliferativediabeticretinopathy AT maenot riskfactorsforrequirementoffiltrationsurgeryaftervitrectomyinpatientswithproliferativediabeticretinopathy
_version_	1718403197625696256

Risk factors for requirement of filtration surgery after vitrectomy in patients with proliferative diabetic retinopathy

Ejemplares similares