Management of vitreous cavity hemorrhage following pars plana vitrectomy for diabetic retinopathy.
Vitreous cavity hemorrhage is a frequent problem following diabetic vitrectomy, and can be managed by either vitreous cavity lavage or outpatient fluid-air exchange procedures. Visual acuities of 6/60 or better and clear vitreous cavities were obtained in 18% of aphakic lavage cases, 47% of lavage cases combined with lens removal, 47% of phakic lavage cases, one of three aphakic exchange cases, and 68% of phakic exchange cases. Iris neovascularization was a major complication of the aphakic eyes occurring in 76% of aphakic lavage cases, 67% of lavage cases combined with lens removal, 14% of phakic lavage cases, all three of the aphakic exchange cases, but in only 25% of phakic exchange cases.
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D000388:Air; D003930:Diabetic Retinopathy / Q000601:surgery*; D004322:Drainage; D005128:Eye Diseases / Q000209:etiology / Q000628:therapy; D006470:Hemorrhage / Q000209:etiology / Q000628:therapy; D006801:Humans; D007267:Injections; D007498:Iris / Q000098:blood supply; D009389:Neovascularization, Pathologic / Q000209:etiology; D011183:Postoperative Complications; D007507:Therapeutic Irrigation; D014792:Visual Acuity; D014821:Vitrectomy / Q000009:adverse effects* / Q000379:methods; D014822:Vitreous Body