Author(s): Thompson JT, de Bustros S, Michels RG, Rice TA, Glaser BM
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Abstract 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.
This article was published in Ophthalmology
and referenced in Journal of Clinical & Experimental Ophthalmology