Trimanual vitrectomy versus bimanual vitrectomy in tractional proliferative diabetic retinopathy

Autor: Mariam Magdy Ghobrial, Faten Ali Hussin, Samir Mohammed El Baha, Mohamed Hassan Said
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Alexandria Journal of Medicine, Vol 60, Iss 1, Pp 82-91 (2024)
Druh dokumentu: article
ISSN: 20905068
2090-5076
2090-5068
DOI: 10.1080/20905068.2024.2334571
Popis: Objective To evaluate the impact as well as safety of trimanual vitrectomy versus bimanual vitrectomy in cases with complicated proliferative diabetic retinopathy (PDR) necessitating surgical intervention.Methods We designed a randomized, interventional, prospective study on 40 pseudophakic eyes suffering from tractional retinal detachment (TRD). 20 eyes of 16 cases with trimanual 23-gauge Parsplana vitrectomy (PPV) were categorized as Group A ”trimanual group.” Twenty eyes of 18 cases with bimanual 23-gauge PPV were categorized as Group B” bimanual group” in the duration between May 2021 and December 2022. All cases were under continual observation for ≥ 6 months postoperatively.Results A total of 40 eyes out of 34 cases with the mean age of cases 50.5 years (ranged between 29–69 y) in group A and 47.9 (ranged between 33–60 y) old in group B were assessed. Retinal attachment, total elimination of the pre-retinal proliferation attained in all cases of the two groups. Surgical time was statistically significant shorter in the trimanual group compared to bimanual group (p value
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