Re-operation following pars plana vitrectomy for the sequelae of proliferative diabetic retinopathy.
A review of 306 eyes undergoing pars plana vitrectomy for the complications of proliferative diabetic retinopathy revealed that 26 (8.5%) required a second vitrectomy operation. Among the eyes that required repeat vitrectomy, the eventual visual acuity ranged from 20/20 to 20/400 in 35% and was no light perception in 31%. Reasons for subsequent surgery included recurrent vitreous hemorrhage in 54% of eyes, retinal detachment in 42% and neovascular glaucoma in 4%. Twelve eyes (46%) remained with a permanent retinal detachment despite attempts at surgical repair, and eleven of these twelve eyes subsequently developed rubeosis iridis.
Brown
G C
GC
Retina Vascular Unit, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, PA.
Benson
W E
WE
Tasman
W S
WS
McNamara
J A
JA
D000328:Adult; D003930:Diabetic Retinopathy / Q000601:surgery*; D005260:Female; D015355:Glaucoma, Neovascular / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012086:Reoperation; D012163:Retinal Detachment / Q000601:surgery; D014792:Visual Acuity; D014821:Vitrectomy; D014823:Vitreous Hemorrhage / Q000601:surgery