title: Pars plana vitrectomy. Treatment for tractional macula detachment secondary to proliferative diabetic retinopathy.
abstract: Pars plana vitrectomies were performed on 43 eyes with traction macular detachment secondary to proliferative diabetic retinopathy. Anatomic success, as judged by reattachment of the macula, occurred 28 (65%) eyes. Improved visual acuity occurred in 11 (26%) eyes. Severe complications occurring after vitrectomy included moderate to severe rubeosis iridis diabetica (28%), neovascular glaucoma (16%), vitreous hemorrhage (49%), and phthisis bulbi (14%). Eyes that received scatter photocagulation therapy at some time prior to macular detachment had a substantially lower incidence of successful postoperative reattachment of the macula than eyes never treated with photocoagulation.
mesh_terms: D000293:Adolescent; D000328:Adult; D003930:Diabetic Retinopathy / Q000150:complications*; D005128:Eye Diseases / Q000150:complications; D005260:Female; D005901:Glaucoma / Q000150:complications; D006470:Hemorrhage / Q000150:complications; D006801:Humans; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D014603:Uveal Diseases / Q000150:complications; D014822:Vitreous Body / Q000601:surgery*