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[Influence of membrane dissection and en bloc excision on the outcome of vitreous surgery in proliferative diabetic retinopathy].
Zhonghua Yan Ke Za Zhi. 2004 Jul; 40(7):439-42.ZY

Abstract

OBJECTIVE

Compare membrane dissections and en bloc membranectomy in vitrectomy of proliferative diabetic retinopathy.

METHODS

Retrospective comparative (non-randomized) interventional study. 296 eyes of 276 patients with fibrovascular proliferation in diabetic retinopathy performed by vitrectomy from 1996 approximately 2000 were analyzed. 201 eyes complicated with vitreous hemorrhages in different severity, 110 eye with traction retinal detachment. We used membrane dissection in 110 eyes and en bloc excision in 186 eyes. Follow up time required more than 4 months, for the silicone oil temponade eyes required 3 months after silicone oil removal. The iatrogenic holes, postoperative hemorrhages, rubeosis iridis and visual improvement were compared in the same intraocular temponade for membrane dissections and en bloc excision, as well as visual acuity > 0.1.

RESULTS

There is no statistic significant difference in age, sex and type of fibrovascular proliferations for both groups. Membrane dissection techniques showed a lower incidence of iatrogenic breaks (35.5%) than that in en bloc membranectomy techniques, no significant difference in postoperative vitreous hemorrhages and visual improvement for both techniques.

CONCLUSION

Both techniques showed no difference to visual results and postoperative complications, but membrane dissection techniques can decrease the formation of iatrogenic breaks.

Authors+Show Affiliations

Li XX
Department of Ophthalmology, People's Hospital, Beijing University, Beijing 100005, China. drlixiaoxin@vip.sina.com
Jiang YR
No affiliation info available
Yin H
No affiliation info available
Zhao MW
No affiliation info available

MeSH

AdultDiabetic RetinopathyFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetinaRetinal DetachmentRetinal NeovascularizationRetrospective StudiesSilicone OilsTreatment OutcomeVisual AcuityVitrectomyVitreous Hemorrhage

Pub Type(s)

English Abstract
Journal Article

Language

chi

PubMed ID

15454056

Citation

Li, Xiao-Xin, et al. "[Influence of Membrane Dissection and En Bloc Excision On the Outcome of Vitreous Surgery in Proliferative Diabetic Retinopathy]." [Zhonghua Yan Ke Za Zhi] Chinese Journal of Ophthalmology, vol. 40, no. 7, 2004, pp. 439-42.
Li XX, Jiang YR, Yin H, et al. [Influence of membrane dissection and en bloc excision on the outcome of vitreous surgery in proliferative diabetic retinopathy]. Zhonghua Yan Ke Za Zhi. 2004;40(7):439-42.
Li, X. X., Jiang, Y. R., Yin, H., & Zhao, M. W. (2004). [Influence of membrane dissection and en bloc excision on the outcome of vitreous surgery in proliferative diabetic retinopathy]. [Zhonghua Yan Ke Za Zhi] Chinese Journal of Ophthalmology, 40(7), 439-42.
Li XX, et al. [Influence of Membrane Dissection and En Bloc Excision On the Outcome of Vitreous Surgery in Proliferative Diabetic Retinopathy]. Zhonghua Yan Ke Za Zhi. 2004;40(7):439-42. PubMed PMID: 15454056.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Influence of membrane dissection and en bloc excision on the outcome of vitreous surgery in proliferative diabetic retinopathy]. AU - Li,Xiao-Xin, AU - Jiang,Yan-Rong, AU - Yin,Hong, AU - Zhao,Ming-Wei, PY - 2004/9/30/pubmed PY - 2005/9/30/medline PY - 2004/9/30/entrez SP - 439 EP - 42 JF - [Zhonghua yan ke za zhi] Chinese journal of ophthalmology JO - Zhonghua Yan Ke Za Zhi VL - 40 IS - 7 N2 - OBJECTIVE: Compare membrane dissections and en bloc membranectomy in vitrectomy of proliferative diabetic retinopathy. METHODS: Retrospective comparative (non-randomized) interventional study. 296 eyes of 276 patients with fibrovascular proliferation in diabetic retinopathy performed by vitrectomy from 1996 approximately 2000 were analyzed. 201 eyes complicated with vitreous hemorrhages in different severity, 110 eye with traction retinal detachment. We used membrane dissection in 110 eyes and en bloc excision in 186 eyes. Follow up time required more than 4 months, for the silicone oil temponade eyes required 3 months after silicone oil removal. The iatrogenic holes, postoperative hemorrhages, rubeosis iridis and visual improvement were compared in the same intraocular temponade for membrane dissections and en bloc excision, as well as visual acuity > 0.1. RESULTS: There is no statistic significant difference in age, sex and type of fibrovascular proliferations for both groups. Membrane dissection techniques showed a lower incidence of iatrogenic breaks (35.5%) than that in en bloc membranectomy techniques, no significant difference in postoperative vitreous hemorrhages and visual improvement for both techniques. CONCLUSION: Both techniques showed no difference to visual results and postoperative complications, but membrane dissection techniques can decrease the formation of iatrogenic breaks. SN - 0412-4081 UR - https://www.unboundmedicine.com/medline/citation/15454056/[Influence_of_membrane_dissection_and_en_bloc_excision_on_the_outcome_of_vitreous_surgery_in_proliferative_diabetic_retinopathy]_ DB - PRIME DP - Unbound Medicine ER -