The outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment

Muneera A Abunajma,1 Hassan Al-Dhibi,1 Emad B Abboud,1 Yahya Al Zahrani,1 Essam Alharthi,2 Abdullah Alkharashi,3 Nicola G Ghazi1,4 1Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 2Al Hokama Eye Center, Riyadh, Saudi Arabia; 3Department of Ophthalmology, College o...

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Autores principales:	Abunajma MA, Al-Dhibi H, Abboud EB, Al Zahrani Y, Alharthi E, Alkharashi A, Ghazi NG
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	chronic diabetic traction macular detachment diabetic retinopathy diabetic traction macular detachment pars plana vitrectomy Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/504435e84192403da2ffd857202f8db8
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spelling	oai:doaj.org-article:504435e84192403da2ffd857202f8db82021-12-02T04:13:50ZThe outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment1177-5483https://doaj.org/article/504435e84192403da2ffd857202f8db82016-08-01T00:00:00Zhttps://www.dovepress.com/the-outcomes-and-prognostic-factors-of-vitrectomy-in-chronic-diabetic--peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Muneera A Abunajma,1 Hassan Al-Dhibi,1 Emad B Abboud,1 Yahya Al Zahrani,1 Essam Alharthi,2 Abdullah Alkharashi,3 Nicola G Ghazi1,4 1Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 2Al Hokama Eye Center, Riyadh, Saudi Arabia; 3Department of Ophthalmology, College of Medicine, King Saud University Riyadh, Saudi Arabia; 4Department of Ophthalmology, University of Virginia, Charlottesville, VA, USA Purpose: To investigate the outcomes of pars plana vitrectomy (PPV) for chronic diabetic traction macular detachment (CTMD).Methods: Ninety-six eyes that underwent PPV for CTMD of at least 6 months duration were retrospectively analyzed. Retinal reattachment rate, final vision, and prognostic factors for poor visual outcome were the main outcome measures.Results: All eyes had long-standing TMD (median 12, range: 6–70 months). The median postoperative follow-up was 15 (range: 3–65) months. Eighty-seven eyes (90.6%) had their retina and macula reattached after one PPV. At final examination, 84 eyes (87.5%) had stable vision or at least one line improvement, and three had no light perception. Seventeen (17.7%) and 41 (43%) eyes had preoperative visual acuity of ≥20/200 and ≥5/200 as compared to 40 (41.6%; P=0.0005) and 64 (66.7%; P=0.0014) eyes at final follow-up, respectively. Age >50 years (Odds ratio [OR] =5.84, 95% confidence interval [CI] =1.53–22.19, P=0.01), preoperative vision <20/400 (OR =7.012, 95% CI =1.82–26.93, P=0.005), and ischemic macula (OR =14.13, 95% CI =3.61–55.33, P<0.001) were significantly associated with final vision <20/400.Conclusion: PPV for CTMD may be beneficial particularly in patients who are relatively younger and have good baseline vision and no macular ischemia. Keywords: chronic diabetic traction macular detachment, diabetic retinopathy, diabetic traction macular detachment, pars plana vitrectomyAbunajma MAAl-Dhibi HAbboud EBAl Zahrani YAlharthi EAlkharashi AGhazi NGDove Medical Pressarticlechronic diabetic traction macular detachmentdiabetic retinopathydiabetic traction macular detachmentpars plana vitrectomyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 10, Pp 1653-1661 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic diabetic traction macular detachment diabetic retinopathy diabetic traction macular detachment pars plana vitrectomy Ophthalmology RE1-994
spellingShingle	chronic diabetic traction macular detachment diabetic retinopathy diabetic traction macular detachment pars plana vitrectomy Ophthalmology RE1-994 Abunajma MA Al-Dhibi H Abboud EB Al Zahrani Y Alharthi E Alkharashi A Ghazi NG The outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment
description	Muneera A Abunajma,1 Hassan Al-Dhibi,1 Emad B Abboud,1 Yahya Al Zahrani,1 Essam Alharthi,2 Abdullah Alkharashi,3 Nicola G Ghazi1,4 1Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 2Al Hokama Eye Center, Riyadh, Saudi Arabia; 3Department of Ophthalmology, College of Medicine, King Saud University Riyadh, Saudi Arabia; 4Department of Ophthalmology, University of Virginia, Charlottesville, VA, USA Purpose: To investigate the outcomes of pars plana vitrectomy (PPV) for chronic diabetic traction macular detachment (CTMD).Methods: Ninety-six eyes that underwent PPV for CTMD of at least 6 months duration were retrospectively analyzed. Retinal reattachment rate, final vision, and prognostic factors for poor visual outcome were the main outcome measures.Results: All eyes had long-standing TMD (median 12, range: 6–70 months). The median postoperative follow-up was 15 (range: 3–65) months. Eighty-seven eyes (90.6%) had their retina and macula reattached after one PPV. At final examination, 84 eyes (87.5%) had stable vision or at least one line improvement, and three had no light perception. Seventeen (17.7%) and 41 (43%) eyes had preoperative visual acuity of ≥20/200 and ≥5/200 as compared to 40 (41.6%; P=0.0005) and 64 (66.7%; P=0.0014) eyes at final follow-up, respectively. Age >50 years (Odds ratio [OR] =5.84, 95% confidence interval [CI] =1.53–22.19, P=0.01), preoperative vision <20/400 (OR =7.012, 95% CI =1.82–26.93, P=0.005), and ischemic macula (OR =14.13, 95% CI =3.61–55.33, P<0.001) were significantly associated with final vision <20/400.Conclusion: PPV for CTMD may be beneficial particularly in patients who are relatively younger and have good baseline vision and no macular ischemia. Keywords: chronic diabetic traction macular detachment, diabetic retinopathy, diabetic traction macular detachment, pars plana vitrectomy
format	article
author	Abunajma MA Al-Dhibi H Abboud EB Al Zahrani Y Alharthi E Alkharashi A Ghazi NG
author_facet	Abunajma MA Al-Dhibi H Abboud EB Al Zahrani Y Alharthi E Alkharashi A Ghazi NG
author_sort	Abunajma MA
title	The outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment
title_short	The outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment
title_full	The outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment
title_fullStr	The outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment
title_full_unstemmed	The outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment
title_sort	outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/504435e84192403da2ffd857202f8db8
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The outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment

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