Advantages of diabetic tractional retinal detachment repair

Amir Sternfeld, Ruth Axer-Siegel, Hadas Stiebel-Kalish, Dov Weinberger, Rita Ehrlich Department of Ophthalmology, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel Purpose: To evaluate the outcomes and complications of patients with diabetic tractional retinal detachment (TRD) treated w...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Sternfeld A, Axer-Siegel R, Stiebel-Kalish H, Weinberger D, Ehrlich R
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2015
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/5ea70df48b2448ff9c7142f8ee29564e
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:5ea70df48b2448ff9c7142f8ee29564e
record_format	dspace
spelling	oai:doaj.org-article:5ea70df48b2448ff9c7142f8ee29564e2021-12-02T00:03:12ZAdvantages of diabetic tractional retinal detachment repair1177-5483https://doaj.org/article/5ea70df48b2448ff9c7142f8ee29564e2015-10-01T00:00:00Zhttps://www.dovepress.com/advantages-of-diabetic-tractional-retinal-detachment-repair-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Amir Sternfeld, Ruth Axer-Siegel, Hadas Stiebel-Kalish, Dov Weinberger, Rita Ehrlich Department of Ophthalmology, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel Purpose: To evaluate the outcomes and complications of patients with diabetic tractional retinal detachment (TRD) treated with pars plana vitrectomy (PPV).Patients and methods: We retrospectively studied a case series of 24 eyes of 21 patients at a single tertiary, university-affiliated medical center. A review was carried out on patients who underwent PPV for the management of TRD due to proliferative diabetic retinopathy from October 2011 to November 2013. Preoperative and final visual outcomes, intraoperative and postoperative complications, and medical background were evaluated.Results: A 23 G instrumentation was used in 23 eyes (95.8%), and a 25 G instrumentation in one (4.2%). Mean postoperative follow-up time was 13.3 months (4–30 months). Visual acuity significantly improved from logarithm of the minimum angle of resolution (LogMAR) 1.48 to LogMAR 1.05 (P<0.05). Visual acuity improved by ≥3 lines in 75% of patients. Intraoperative complications included iatrogenic retinal breaks in seven eyes (22.9%) and vitreal hemorrhage in nine eyes (37.5%). In two eyes, one sclerotomy was enlarged to 20 G (8.3%). Postoperative complications included reoperation in five eyes (20.8%) due to persistent subretinal fluid (n=3), vitreous hemorrhage (n=1), and dislocated intraocular lens (n=1). Thirteen patients (54.2%) had postoperative vitreous hemorrhage that cleared spontaneously, five patients (20.8%) required antiglaucoma medications for increased intraocular pressure, seven patients (29.2%) developed an epiretinal membrane, and two patients (8.3%) developed a macular hole.Conclusion: Patients with diabetic TRD can benefit from PPV surgery. Intraoperative and postoperative complications can be attributed to the complexity of this disease. Keywords: diabetic retinopathy, proliferative vitreoretinopathy, retinal detachment, vitrectomy, vitreoretinal surgerySternfeld AAxer-Siegel RStiebel-Kalish HWeinberger DEhrlich RDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2015, Iss default, Pp 1989-1994 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Sternfeld A Axer-Siegel R Stiebel-Kalish H Weinberger D Ehrlich R Advantages of diabetic tractional retinal detachment repair
description	Amir Sternfeld, Ruth Axer-Siegel, Hadas Stiebel-Kalish, Dov Weinberger, Rita Ehrlich Department of Ophthalmology, Rabin Medical Center, Beilinson Campus, Petach Tikva, Israel Purpose: To evaluate the outcomes and complications of patients with diabetic tractional retinal detachment (TRD) treated with pars plana vitrectomy (PPV).Patients and methods: We retrospectively studied a case series of 24 eyes of 21 patients at a single tertiary, university-affiliated medical center. A review was carried out on patients who underwent PPV for the management of TRD due to proliferative diabetic retinopathy from October 2011 to November 2013. Preoperative and final visual outcomes, intraoperative and postoperative complications, and medical background were evaluated.Results: A 23 G instrumentation was used in 23 eyes (95.8%), and a 25 G instrumentation in one (4.2%). Mean postoperative follow-up time was 13.3 months (4–30 months). Visual acuity significantly improved from logarithm of the minimum angle of resolution (LogMAR) 1.48 to LogMAR 1.05 (P<0.05). Visual acuity improved by ≥3 lines in 75% of patients. Intraoperative complications included iatrogenic retinal breaks in seven eyes (22.9%) and vitreal hemorrhage in nine eyes (37.5%). In two eyes, one sclerotomy was enlarged to 20 G (8.3%). Postoperative complications included reoperation in five eyes (20.8%) due to persistent subretinal fluid (n=3), vitreous hemorrhage (n=1), and dislocated intraocular lens (n=1). Thirteen patients (54.2%) had postoperative vitreous hemorrhage that cleared spontaneously, five patients (20.8%) required antiglaucoma medications for increased intraocular pressure, seven patients (29.2%) developed an epiretinal membrane, and two patients (8.3%) developed a macular hole.Conclusion: Patients with diabetic TRD can benefit from PPV surgery. Intraoperative and postoperative complications can be attributed to the complexity of this disease. Keywords: diabetic retinopathy, proliferative vitreoretinopathy, retinal detachment, vitrectomy, vitreoretinal surgery
format	article
author	Sternfeld A Axer-Siegel R Stiebel-Kalish H Weinberger D Ehrlich R
author_facet	Sternfeld A Axer-Siegel R Stiebel-Kalish H Weinberger D Ehrlich R
author_sort	Sternfeld A
title	Advantages of diabetic tractional retinal detachment repair
title_short	Advantages of diabetic tractional retinal detachment repair
title_full	Advantages of diabetic tractional retinal detachment repair
title_fullStr	Advantages of diabetic tractional retinal detachment repair
title_full_unstemmed	Advantages of diabetic tractional retinal detachment repair
title_sort	advantages of diabetic tractional retinal detachment repair
publisher	Dove Medical Press
publishDate	2015
url	https://doaj.org/article/5ea70df48b2448ff9c7142f8ee29564e
work_keys_str_mv	AT sternfelda advantagesofdiabetictractionalretinaldetachmentrepair AT axersiegelr advantagesofdiabetictractionalretinaldetachmentrepair AT stiebelkalishh advantagesofdiabetictractionalretinaldetachmentrepair AT weinbergerd advantagesofdiabetictractionalretinaldetachmentrepair AT ehrlichr advantagesofdiabetictractionalretinaldetachmentrepair
_version_	1718403986040553472

Advantages of diabetic tractional retinal detachment repair

Ejemplares similares