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[Anterior fibrovascular proliferation. A rare complication of vitrectomy for proliferative diabetic retinopathy].
J Fr Ophtalmol. 1996; 19(5):369-73.JF

Abstract

PURPOSE

To present clinical and therapeutic features of anterior fibrovascular proliferation, a severe complication of vitrectomy for diabetic retinopathy.

METHODS

Among 153 vitrectomies for complication of diabetic proliferative vitreo-retinopathy, six cases of anterior fibro-vascular proliferation were found. All presented initially with a tractional retinal detachment associated in some cases with a vitreous hemorrhage. The complication occurred after a mean follow-up of three months after initial vitrectomy, marked by intravitreal bleeding, rubeosis iridis and hypotony. A reoperation with peeling of proliferation, lensectomy, extensive panretinal photocoagulation, encircling band and silicone oil injection allowed reattachment of the anterior retina in all the six cases.

RESULTS

A reproliferation occurred in five cases, requiring revision of dissection. Finally, silicone oil was removed in three cases, was definitively left in one eye and was not removed in two eyes. Final visual acuities range from 1/50 to 2/10.

CONCLUSION

Anterior fibrovascular proliferation is an unfrequent complication after vitrectomy for diabetic retinopathy. The prognosis is poor, in spite of aggressive vitreoretinal surgery including repeated dissection and extensive photocoagulation.

Authors+Show Affiliations

Le Mer Y
Centre Hospitalier Intercommunal André Grégoire, Montreuil.
Des Beauvais T
No affiliation info available
Raynaud JF
No affiliation info available
Ribeaudeau F
No affiliation info available

MeSH

AdultDiabetes Mellitus, Type 1Diabetic RetinopathyFemaleHumansLens, CrystallineMaleReoperationRetinal DetachmentRetrospective StudiesSilicone OilsVitrectomy

Pub Type(s)

English Abstract
Journal Article

Language

fre

PubMed ID

8762905

Citation

Le Mer, Y, et al. "[Anterior Fibrovascular Proliferation. a Rare Complication of Vitrectomy for Proliferative Diabetic Retinopathy]." Journal Francais D'ophtalmologie, vol. 19, no. 5, 1996, pp. 369-73.
Le Mer Y, Des Beauvais T, Raynaud JF, et al. [Anterior fibrovascular proliferation. A rare complication of vitrectomy for proliferative diabetic retinopathy]. J Fr Ophtalmol. 1996;19(5):369-73.
Le Mer, Y., Des Beauvais, T., Raynaud, J. F., & Ribeaudeau, F. (1996). [Anterior fibrovascular proliferation. A rare complication of vitrectomy for proliferative diabetic retinopathy]. Journal Francais D'ophtalmologie, 19(5), 369-73.
Le Mer Y, et al. [Anterior Fibrovascular Proliferation. a Rare Complication of Vitrectomy for Proliferative Diabetic Retinopathy]. J Fr Ophtalmol. 1996;19(5):369-73. PubMed PMID: 8762905.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Anterior fibrovascular proliferation. A rare complication of vitrectomy for proliferative diabetic retinopathy]. AU - Le Mer,Y, AU - Des Beauvais,T, AU - Raynaud,J F, AU - Ribeaudeau,F, PY - 1996/1/1/pubmed PY - 1996/1/1/medline PY - 1996/1/1/entrez SP - 369 EP - 73 JF - Journal francais d'ophtalmologie JO - J Fr Ophtalmol VL - 19 IS - 5 N2 - PURPOSE: To present clinical and therapeutic features of anterior fibrovascular proliferation, a severe complication of vitrectomy for diabetic retinopathy. METHODS: Among 153 vitrectomies for complication of diabetic proliferative vitreo-retinopathy, six cases of anterior fibro-vascular proliferation were found. All presented initially with a tractional retinal detachment associated in some cases with a vitreous hemorrhage. The complication occurred after a mean follow-up of three months after initial vitrectomy, marked by intravitreal bleeding, rubeosis iridis and hypotony. A reoperation with peeling of proliferation, lensectomy, extensive panretinal photocoagulation, encircling band and silicone oil injection allowed reattachment of the anterior retina in all the six cases. RESULTS: A reproliferation occurred in five cases, requiring revision of dissection. Finally, silicone oil was removed in three cases, was definitively left in one eye and was not removed in two eyes. Final visual acuities range from 1/50 to 2/10. CONCLUSION: Anterior fibrovascular proliferation is an unfrequent complication after vitrectomy for diabetic retinopathy. The prognosis is poor, in spite of aggressive vitreoretinal surgery including repeated dissection and extensive photocoagulation. SN - 0181-5512 UR - https://www.unboundmedicine.com/medline/citation/8762905/[Anterior_fibrovascular_proliferation__A_rare_complication_of_vitrectomy_for_proliferative_diabetic_retinopathy]_ L2 - https://medlineplus.gov/retinaldetachment.html DB - PRIME DP - Unbound Medicine ER -