The outcomes and prognostic factors of vitrectomy in chronic diabetic traction macular detachment
| Autor: | Hassan Al-Dhibi, Abdullah S. Al-Kharashi, Muneera A. Abunajma, Emad B. Abboud, Yahya Al Zahrani, Essam Al-Harthi, Nicola G. Ghazi |
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| Rok vydání: | 2016 |
| Předmět: |
Pars plana
medicine.medical_specialty Visual acuity genetic structures medicine.medical_treatment 030209 endocrinology & metabolism Vitrectomy 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Ophthalmology medicine chronic diabetic traction macular detachment Original Research pars plana vitrectomy business.industry Clinical Ophthalmology Retinal Odds ratio Diabetic retinopathy medicine.disease eye diseases Confidence interval Macular detachment diabetic retinopathy medicine.anatomical_structure chemistry diabetic traction macular detachment 030221 ophthalmology & optometry sense organs medicine.symptom business |
| Zdroj: | Clinical Ophthalmology (Auckland, N.Z.) |
| ISSN: | 1177-5483 |
| DOI: | 10.2147/opth.s98555 |
| Popis: | Muneera A Abunajma,1 Hassan Al-Dhibi,1 Emad B Abboud,1 Yahya Al Zahrani,1 Essam Alharthi,2 Abdullah Alkharashi,3 Nicola G Ghazi1,4 1Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 2Al Hokama Eye Center, Riyadh, Saudi Arabia; 3Department of Ophthalmology, College of Medicine, King Saud University Riyadh, Saudi Arabia; 4Department of Ophthalmology, University of Virginia, Charlottesville, VA, USA Purpose: To investigate the outcomes of pars plana vitrectomy (PPV) for chronic diabetic traction macular detachment (CTMD).Methods: Ninety-six eyes that underwent PPV for CTMD of at least 6 months duration were retrospectively analyzed. Retinal reattachment rate, final vision, and prognostic factors for poor visual outcome were the main outcome measures.Results: All eyes had long-standing TMD (median 12, range: 6–70 months). The median postoperative follow-up was 15 (range: 3–65) months. Eighty-seven eyes (90.6%) had their retina and macula reattached after one PPV. At final examination, 84 eyes (87.5%) had stable vision or at least one line improvement, and three had no light perception. Seventeen (17.7%) and 41 (43%) eyes had preoperative visual acuity of ≥20/200 and ≥5/200 as compared to 40 (41.6%; P=0.0005) and 64 (66.7%;P=0.0014) eyes at final follow-up, respectively. Age >50 years (Odds ratio [OR] =5.84, 95% confidence interval [CI] =1.53–22.19,P=0.01), preoperative vision |
| Databáze: | OpenAIRE |
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