Factors contributing to corneal complications after vitrectomy in diabetic patients.
OBJECTIVE
To elucidate factors contributing to corneal complications after vitrectomy in diabetic patients.


METHODS
The records of a series of 129 diabetic patients (202 eyes) who underwent pars plana vitrectomy performed by a single surgeon between March 1997 and February 1999 were analyzed retrospectively. Logistic regression analysis was performed to determine possible factors contributing to corneal complications.


RESULTS
Of the 202 eyes, 102 (50.5%) developed corneal complications after surgery; 90 (44.6%) had epithelial disturbance; and 48 (23.8%) had corneal edema. The degree of surgical invasion during vitrectomy was significantly correlated with the occurrence of epithelial disturbance and corneal edema.


CONCLUSIONS
Surgical invasion is a risk factor for corneal complications after vitrectomy in diabetic patients.
Hiraoka
M
M
Department of Ophthalmology, Diabetes Center, Tokyo Women's Medical College, Tokyo, Japan.
Amano
S
S
Oshika
T
T
Kato
S
S
Hori
S
S
D003316:Corneal Diseases / Q000209:etiology*; D015715:Corneal Edema / Q000209:etiology / Q000473:pathology; D048909:Diabetes Complications; D019573:Epithelium, Corneal / Q000473:pathology; D005128:Eye Diseases / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012164:Retinal Diseases / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors; D014821:Vitrectomy / Q000009:adverse effects*; D014822:Vitreous Body / Q000473:pathology