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Reoperation following diabetic vitrectomy.
Arch Ophthalmol. 1992 Apr; 110(4):506-10.AO

Abstract

A review of 484 consecutive eyes that were undergoing an initial pars plana vitrectomy for the sequelae of proliferative diabetic retinopathy disclosed that 41 eyes (8.5%) required one or more additional vitrectomy operations. The primary causes for reoperation included rhegmatogenous retinal detachment in 18 (44%) of the 41 eyes, recurrent vitreous hemorrhage in 21 eyes (51%), and glaucoma in two eyes (5%). The visual prognosis was worse in the group with rhegmatogenous retinal detachment, with 10 (56%) of 18 eyes progressing to no light perception (P = .003). Severe preretinal and subretinal fibrous proliferation, as demonstrated histopathologically, accounted in large part for the poor result. The preretinal membrane formation appeared to occur secondary to a combination of diabetic extraretinal vascular growth and proliferative vitreoretinopathy. Among the total group of 41 eyes that required subsequent surgery, the retina eventually remained detached in 18 eyes (44%), and phthisis bulbi occurred in 13 eyes (32%). Rubeosis iridis developed in 17 (94%) of 18 eyes in which the retina remained detached.

Authors+Show Affiliations

Brown GC
Retina Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pa.
Tasman WS
No affiliation info available
Benson WE
No affiliation info available
McNamara JA
No affiliation info available
Eagle RC
No affiliation info available

MeSH

AdultDiabetic RetinopathyEye DiseasesEye EnucleationFemaleGlaucomaHumansMaleMiddle AgedPrognosisReoperationRetinal DetachmentRetinal DiseasesVisual AcuityVitrectomyVitreous BodyVitreous Hemorrhage

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

1562258

Citation

Brown, G C., et al. "Reoperation Following Diabetic Vitrectomy." Archives of Ophthalmology (Chicago, Ill. : 1960), vol. 110, no. 4, 1992, pp. 506-10.
Brown GC, Tasman WS, Benson WE, et al. Reoperation following diabetic vitrectomy. Arch Ophthalmol. 1992;110(4):506-10.
Brown, G. C., Tasman, W. S., Benson, W. E., McNamara, J. A., & Eagle, R. C. (1992). Reoperation following diabetic vitrectomy. Archives of Ophthalmology (Chicago, Ill. : 1960), 110(4), 506-10.
Brown GC, et al. Reoperation Following Diabetic Vitrectomy. Arch Ophthalmol. 1992;110(4):506-10. PubMed PMID: 1562258.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Reoperation following diabetic vitrectomy. AU - Brown,G C, AU - Tasman,W S, AU - Benson,W E, AU - McNamara,J A, AU - Eagle,R C,Jr PY - 1992/4/11/pubmed PY - 2001/3/28/medline PY - 1992/4/11/entrez SP - 506 EP - 10 JF - Archives of ophthalmology (Chicago, Ill. : 1960) JO - Arch Ophthalmol VL - 110 IS - 4 N2 - A review of 484 consecutive eyes that were undergoing an initial pars plana vitrectomy for the sequelae of proliferative diabetic retinopathy disclosed that 41 eyes (8.5%) required one or more additional vitrectomy operations. The primary causes for reoperation included rhegmatogenous retinal detachment in 18 (44%) of the 41 eyes, recurrent vitreous hemorrhage in 21 eyes (51%), and glaucoma in two eyes (5%). The visual prognosis was worse in the group with rhegmatogenous retinal detachment, with 10 (56%) of 18 eyes progressing to no light perception (P = .003). Severe preretinal and subretinal fibrous proliferation, as demonstrated histopathologically, accounted in large part for the poor result. The preretinal membrane formation appeared to occur secondary to a combination of diabetic extraretinal vascular growth and proliferative vitreoretinopathy. Among the total group of 41 eyes that required subsequent surgery, the retina eventually remained detached in 18 eyes (44%), and phthisis bulbi occurred in 13 eyes (32%). Rubeosis iridis developed in 17 (94%) of 18 eyes in which the retina remained detached. SN - 0003-9950 UR - https://www.unboundmedicine.com/medline/citation/1562258/Reoperation_following_diabetic_vitrectomy_ DB - PRIME DP - Unbound Medicine ER -