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[Effect of rubeosis iridis and active neovascularization of the fundus on vitreous surgery in diabetic retinopathy].
Klin Monbl Augenheilkd. 1988 Jun; 192(6):650-9.KM

Abstract

To determine the influence of preoperative rubeosis iridis and active neovascularization at the fundus on surgical results, the authors analyzed a consecutive series of 85 eyes that underwent vitrectomy for diabetic tractional detachment of the macula. Minimum follow-up was 12 months. Rubeosis was present in 51%, active neovascularization at the fundus in 82%. Surgery was performed under Spitznas wide-angle observation using a stereoscopic diagonal inverter either with the panfundoscope or binocular ophthalmoscopy through the operating microscope. In the 93% of the eyes that were phakic no lensectomy was performed. Anatomical success was achieved in 79%, ambulatory vision in 74%. Anatomical success was reduced to 58% in cases with preoperative rubeosis and to 70% in cases with active neovascularization at the fundus. Including four cases of re-vitrectomy, silicone oil was used for internal tamponade in 9%, SF 6/air 50:50 in 38% and air in 28%. In 25% no internal tamponade was applied. Postoperative complications included vitreous bleeding (21%), increased rubeosis (20%), neovascular glaucoma (2%), redetachment (6%), rubeosis/hypotony/cataract (13%) and phthisis (3.5%). In 21% of the eyes the final result of surgery was failure, due to redetachment (3.5%), neovascular glaucoma (1%), rubeosis/hypotony/cataract (13%) and phthisis (3.5%).

Authors+Show Affiliations

Oldendoerp J
Universitäts-Augenklinik Bonn.
Spitznas M
No affiliation info available

MeSH

AdultAgedDiabetic RetinopathyHumansIntraoperative ComplicationsIrisMiddle AgedNeovascularization, PathologicPostoperative ComplicationsPrognosisRecurrenceRetinal DetachmentRetinal VesselsVisual AcuityVitrectomy

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

2463400

Citation

Oldendoerp, J, and M Spitznas. "[Effect of Rubeosis Iridis and Active Neovascularization of the Fundus On Vitreous Surgery in Diabetic Retinopathy]." Klinische Monatsblatter Fur Augenheilkunde, vol. 192, no. 6, 1988, pp. 650-9.
Oldendoerp J, Spitznas M. [Effect of rubeosis iridis and active neovascularization of the fundus on vitreous surgery in diabetic retinopathy]. Klin Monbl Augenheilkd. 1988;192(6):650-9.
Oldendoerp, J., & Spitznas, M. (1988). [Effect of rubeosis iridis and active neovascularization of the fundus on vitreous surgery in diabetic retinopathy]. Klinische Monatsblatter Fur Augenheilkunde, 192(6), 650-9.
Oldendoerp J, Spitznas M. [Effect of Rubeosis Iridis and Active Neovascularization of the Fundus On Vitreous Surgery in Diabetic Retinopathy]. Klin Monbl Augenheilkd. 1988;192(6):650-9. PubMed PMID: 2463400.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Effect of rubeosis iridis and active neovascularization of the fundus on vitreous surgery in diabetic retinopathy]. AU - Oldendoerp,J, AU - Spitznas,M, PY - 1988/6/1/pubmed PY - 1988/6/1/medline PY - 1988/6/1/entrez SP - 650 EP - 9 JF - Klinische Monatsblatter fur Augenheilkunde JO - Klin Monbl Augenheilkd VL - 192 IS - 6 N2 - To determine the influence of preoperative rubeosis iridis and active neovascularization at the fundus on surgical results, the authors analyzed a consecutive series of 85 eyes that underwent vitrectomy for diabetic tractional detachment of the macula. Minimum follow-up was 12 months. Rubeosis was present in 51%, active neovascularization at the fundus in 82%. Surgery was performed under Spitznas wide-angle observation using a stereoscopic diagonal inverter either with the panfundoscope or binocular ophthalmoscopy through the operating microscope. In the 93% of the eyes that were phakic no lensectomy was performed. Anatomical success was achieved in 79%, ambulatory vision in 74%. Anatomical success was reduced to 58% in cases with preoperative rubeosis and to 70% in cases with active neovascularization at the fundus. Including four cases of re-vitrectomy, silicone oil was used for internal tamponade in 9%, SF 6/air 50:50 in 38% and air in 28%. In 25% no internal tamponade was applied. Postoperative complications included vitreous bleeding (21%), increased rubeosis (20%), neovascular glaucoma (2%), redetachment (6%), rubeosis/hypotony/cataract (13%) and phthisis (3.5%). In 21% of the eyes the final result of surgery was failure, due to redetachment (3.5%), neovascular glaucoma (1%), rubeosis/hypotony/cataract (13%) and phthisis (3.5%). SN - 0023-2165 UR - https://www.unboundmedicine.com/medline/citation/2463400/[Effect_of_rubeosis_iridis_and_active_neovascularization_of_the_fundus_on_vitreous_surgery_in_diabetic_retinopathy]_ DB - PRIME DP - Unbound Medicine ER -