[Vitrectomy in retinal detachment caused by diabetic retinopathy].
We reviewed the surgical results obtained in 23 eyes that underwent vitrectomy for diabetic traction retinal detachment. Retinal reattachment was obtained in 75% of eyes, however the functional results were modest, owing to retinal changes related to diabetic retinopathy and/or longstanding macular detachment. Ambulatory vision was obtained in 60% of eyes. 8 eyes (40%) had final visual acuity of 1/20 or better. Four preoperative clinical findings were associated with a poor prognosis = absence of scatter retinal photocoagulation, dense vitreous hemorrhage, iris neovascularization and preoperative visual acuity reduced to "light perception". Iatrogenic retinal breaks were also associated with a poor prognosis.
Clinique Ophtalmologique Universitaire B, Hôpital de la Croix-Rousse, Lyon.
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Mouries
D000328:Adult; D000368:Aged; D003930:Diabetic Retinopathy / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D014821:Vitrectomy / Q000009:adverse effects / Q000379:methods*
Vitrectomie dans les décollements de rétine secondaires à la rétinopathie diabétique.