Journal of the Korean Ophthalmological Society 2000;41(11):2363-2368.
Published online November 1, 2000.
Surgical Failure of Vitrectomy in Proliferative Diabetic Retinopathy.
Joon Young Hyon, Jae Jun Lee, Hum Chung
Department of Ophthalmology, Seoul National University College of Medicine #28 Yeongun-dong, Chongro-ku, Seoul, 110-744, Korea.
당뇨망막병증에서 유리체절제술의 실패
정흠(Hum Chung),이재준(Jae Jun Lee),현준영(Joon Young Hyon)
Abstract
The authors investigated the anatomical results of pars plana vitrectomy for diabetic retinopathy and analyzed the cases which resulted in poor functional outcome in spite of successful anatomical result. The medical records of 133 vitrectomized eyes for the complications of diabetic retinopathy were reviewed retrospectively.The surgical failure was defined as detached retina involving macula or media opacity due to vitreous hemorrhage on final examination. Fourteen eyes (10.5%)had surgical failure and risk factors associated with poor anatomical results included difficulty in bleeding control during the surgery and incomplete removal of traction membrane.Fourteen eyes (10.5%) had poor visual outcome (final visual acuity less than 0.01)even though they had successful anatomical result.Cataract was the cause in 5 eyes (3.8%), neovascular glaucoma in 4 eyes (3%), optic nerve atrophy in 2 eyes (1.5%), secondary glaucoma associated with silicone oil injection in 2 eyes (1.5%), and corneal opacity in 1 eye (0.8%). This study showed that the complete removal of traction membrane and intraoperative bleeding control were significantly associated with the anatomical success of diabetic vitrectomy.
Key Words: Diabetes;Diabetic retinopathy;Vitrectomy


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
SKY 1004 Building #701
50-1 Jungnim-ro, Jung-gu, Seoul 04508, Korea
Tel: +82-2-583-6520    Fax: +82-2-583-6521    E-mail: kos08@ophthalmology.org                

Copyright © 2024 by Korean Ophthalmological Society.

Developed in M2PI

Close layer
prev next