Trends in the characteristics of vitrectomy in Eastern China

Yuan Fang,1,* Hsiangyu Ku,1,* Yiwen Liu,1 Dekang Gan1–3 1Department of Ophthalmology and Visual Science, Eye and ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, China; 2Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai 200031, China; 3Key NH...

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Autores principales:	Fang Y, Ku H, Liu Y, Gan D
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	ocular hypertension glaucoma vitrectomy macular disease Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/6ae4b648aa79438bb09200bc1f5e6931
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spelling	oai:doaj.org-article:6ae4b648aa79438bb09200bc1f5e69312021-12-02T09:27:49ZTrends in the characteristics of vitrectomy in Eastern China1177-5483https://doaj.org/article/6ae4b648aa79438bb09200bc1f5e69312018-10-01T00:00:00Zhttps://www.dovepress.com/trends-in-the-characteristics-of-vitrectomy-in-eastern-china-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Yuan Fang,1,* Hsiangyu Ku,1,* Yiwen Liu,1 Dekang Gan1–3 1Department of Ophthalmology and Visual Science, Eye and ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, China; 2Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai 200031, China; 3Key NHC Key Laboratory of Myopia (Fudan University), Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai 200031, China *These authors contributed equally to this work Background: Several new instruments and techniques for pars plana vitrectomy (PPV) have been widely used in recent years, but information about the related characteristics of PPV in China is limited. To investigate the trends in the characteristics of PPV in Eastern China, an 8-year retrospective study was conducted.Patients and methods: We collected data from patients who underwent PPV at the Eye, Ear, Nose and Throat Hospital of Fudan University, Shanghai, China, in November 2007, November 2011, and November 2015. Cases of trauma-related retinopathy were excluded. Data on the patient demographics, surgical procedures, and the prophylactic use of IOP-lowering medications were collected and analyzed.Results: In 2015, most PPVs were conducted with a 23-gauge system, whereas all PPVs in 2007 and 2011 were conducted with a 20-gauge system. The proportions of macular disease in the population in 2007, 2011, and 2015 were 9.1%, 10.7%, and 21.5%, respectively (P<0.001). The proportion of PPV that was combined with lens extraction and intraocular lens (IOL) implantation increased significantly from 12.81% in 2007 to 25.95% by 2015 (P<0.001). The proportions of patients treated with IOP-lowering drugs in 2007, 2011, and 2015 were 27.40%, 38.20%, and 12.60%, respectively (P<0.001). In 2007, systemic carbonic anhydrase inhibitors (CAI-Ss) and beta blockers (BBs) were the two main types of prophylactic IOP-lowering drugs administered, but their use had decreased in 2015 (P<0.001). The preventive use of adrenergic agonists (AAs), topical carbonic anhydrase inhibitors (CAI-Ts), and prostaglandin analogs (PGAs) became increasingly frequent from 2007 to 2015 (P<0.05).Conclusion: The 23-gauge system, rather than the 20-gauge system, had become the mainstream PPV instrument by 2015. The proportion of macular disease patients requiring PPV in China clearly increased, and the rate of prophylactic IOP-lowering drug use decreased by 2015. Keywords: ocular hypertension, glaucoma, vitrectomy, macular disease, epidemiologyFang YKu HLiu YGan DDove Medical Pressarticleocular hypertensionglaucomavitrectomymacular diseaseOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 1993-2000 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	ocular hypertension glaucoma vitrectomy macular disease Ophthalmology RE1-994
spellingShingle	ocular hypertension glaucoma vitrectomy macular disease Ophthalmology RE1-994 Fang Y Ku H Liu Y Gan D Trends in the characteristics of vitrectomy in Eastern China
description	Yuan Fang,1,* Hsiangyu Ku,1,* Yiwen Liu,1 Dekang Gan1–3 1Department of Ophthalmology and Visual Science, Eye and ENT Hospital, Shanghai Medical College, Fudan University, Shanghai 200031, China; 2Shanghai Key Laboratory of Visual Impairment and Restoration, Shanghai 200031, China; 3Key NHC Key Laboratory of Myopia (Fudan University), Laboratory of Myopia, Chinese Academy of Medical Sciences, Shanghai 200031, China *These authors contributed equally to this work Background: Several new instruments and techniques for pars plana vitrectomy (PPV) have been widely used in recent years, but information about the related characteristics of PPV in China is limited. To investigate the trends in the characteristics of PPV in Eastern China, an 8-year retrospective study was conducted.Patients and methods: We collected data from patients who underwent PPV at the Eye, Ear, Nose and Throat Hospital of Fudan University, Shanghai, China, in November 2007, November 2011, and November 2015. Cases of trauma-related retinopathy were excluded. Data on the patient demographics, surgical procedures, and the prophylactic use of IOP-lowering medications were collected and analyzed.Results: In 2015, most PPVs were conducted with a 23-gauge system, whereas all PPVs in 2007 and 2011 were conducted with a 20-gauge system. The proportions of macular disease in the population in 2007, 2011, and 2015 were 9.1%, 10.7%, and 21.5%, respectively (P<0.001). The proportion of PPV that was combined with lens extraction and intraocular lens (IOL) implantation increased significantly from 12.81% in 2007 to 25.95% by 2015 (P<0.001). The proportions of patients treated with IOP-lowering drugs in 2007, 2011, and 2015 were 27.40%, 38.20%, and 12.60%, respectively (P<0.001). In 2007, systemic carbonic anhydrase inhibitors (CAI-Ss) and beta blockers (BBs) were the two main types of prophylactic IOP-lowering drugs administered, but their use had decreased in 2015 (P<0.001). The preventive use of adrenergic agonists (AAs), topical carbonic anhydrase inhibitors (CAI-Ts), and prostaglandin analogs (PGAs) became increasingly frequent from 2007 to 2015 (P<0.05).Conclusion: The 23-gauge system, rather than the 20-gauge system, had become the mainstream PPV instrument by 2015. The proportion of macular disease patients requiring PPV in China clearly increased, and the rate of prophylactic IOP-lowering drug use decreased by 2015. Keywords: ocular hypertension, glaucoma, vitrectomy, macular disease, epidemiology
format	article
author	Fang Y Ku H Liu Y Gan D
author_facet	Fang Y Ku H Liu Y Gan D
author_sort	Fang Y
title	Trends in the characteristics of vitrectomy in Eastern China
title_short	Trends in the characteristics of vitrectomy in Eastern China
title_full	Trends in the characteristics of vitrectomy in Eastern China
title_fullStr	Trends in the characteristics of vitrectomy in Eastern China
title_full_unstemmed	Trends in the characteristics of vitrectomy in Eastern China
title_sort	trends in the characteristics of vitrectomy in eastern china
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/6ae4b648aa79438bb09200bc1f5e6931
work_keys_str_mv	AT fangy trendsinthecharacteristicsofvitrectomyineasternchina AT kuh trendsinthecharacteristicsofvitrectomyineasternchina AT liuy trendsinthecharacteristicsofvitrectomyineasternchina AT gand trendsinthecharacteristicsofvitrectomyineasternchina
_version_	1718398125946699776

Trends in the characteristics of vitrectomy in Eastern China

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