Results of vitrectomy for proliferative diabetic retinopathy.
The authors treated 1007 eyes with vitrectomy for complications of proliferative diabetic retinopathy. Indications for surgery were: vitreous hemorrhage, 353 eyes (35%); traction retinal detachment, 360 eyes (36%); combined traction-rhegmatogenous retinal detachment, 172 eyes (17%); and other progressive fibrovascular proliferation 122 eyes (12%). During the study period, the frequency of vitreous hemorrhage as an indication for surgery decreased from 42 to 25%, and other progressive fibrovascular proliferation increased from 5 to 22%. The frequency of traction and traction/rhegmatogenous retinal detachments did not change. The results of surgery varied according to the indication. Seventy-nine percent of eyes with vitreous hemorrhage obtained final vision of 5/200 or better. Similar results were obtained in 64% of eyes with traction detachment, 56% of eyes with rhegmatogenous detachment, and 81% of eyes with progressive fibrovascular proliferation. The percentage of eyes achieving final vision of 20/100 or better are as follows: vitreous hemorrhage, 48%; traction detachment, 27%; rhegmatogenous detachment, 24%; and progressive fibrovascular proliferation, 46%. The success rate improved in each anatomic category during the last 3 years of the study.
D003930:Diabetic Retinopathy / Q000150:complications*; D005123:Eye / Q000098:blood supply; D005128:Eye Diseases / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D006470:Hemorrhage / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D009389:Neovascularization, Pathologic / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D012163:Retinal Detachment / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D014785:Vision, Ocular; D014821:Vitrectomy; D014822:Vitreous Body