Titre du document / Document title

Postoperative complications following vitrectomy for proliferative diabetic retinopathy with sew-on and noncontact wide-angle viewing lenses

Auteur(s) / Author(s)

VIRATA Steven R. ⁽¹⁾ ; KYLSTRA Jan A. ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Department of Ophthalmology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, ETATS-UNIS

Résumé / Abstract

■ BACKGROUND AND OBJECTIVE: To compare the occurrence of vitreous hemorrhages and retinal detachments following vitrectomy surgery with sew-on lenses to a noncontact wide-angle lens system. ■ PATIENTS AND METHODS: Retrospective review of 180 patients who underwent primary vitrectomy for proliferative diabetic retinopathy. The occurrence of persistent and recurrent vitreous hemorrhages as well as postoperative retinal detachments in the two groups was determined. ■ RESULTS: There was no statistically significant difference in the occurrence of persistent vitreous hemorrhages between the sew-on (55%) and the wide-angle (42%) lens systems (P = 0.099). Likewise, recurrent vitreous hemorrhages were similar in both the sew-on (15%) and the wide-angle (17%) lens systems (P = 0.838). However, postoperative detachments were more frequent in the sew-on group (9%) than in the wide-angle (1%) group (P= 0.046). ■ CONCLUSION: In patients with proliferative diabetic retinopathy, using a wide-angle noncontact lens system significantly reduced the incidence of postoperative retinal detachments, but not persistent or recurrent vitreous hemorrhages.

Revue / Journal Title

Ophthalmic surgery and lasers   ISSN 1082-3069   CODEN OSLAF2 

Source / Source

2001, vol. 32, n^o3, pp. 193-197 (12 ref.)

Langue / Language

Anglais

Editeur / Publisher

Slack, Thorofare, NJ, ETATS-UNIS  (1995-2000) (Revue)

Mots-clés anglais / English Keywords

Proliferative vitreoretinopathy ; Complication ; Treatment ; Diabetes mellitus ; Postoperative ; Iatrogenic ; Vitrectomy ; Non contact measurement ; Viewing system ; Hemorrhage ; Vitreous body ; Retinal detachment ; Human ; Eye disease ; Retinopathy ; Vitreous body disease ; Endocrinopathy ; Surgery ; Cardiovascular disease ; Vascular disease ;

Mots-clés français / French Keywords

Vitréorétinopathie proliférante ; Complication ; Traitement ; Diabète ; Postopératoire ; Iatrogène ; Vitrectomie ; Mesure sans contact ; Système visée ; Hémorragie ; Corps vitré ; Décollement rétine ; Homme ; Oeil pathologie ; Rétinopathie ; Corps vitré pathologie ; Endocrinopathie ; Chirurgie ; Appareil circulatoire pathologie ; Vaisseau sanguin pathologie ;

Mots-clés espagnols / Spanish Keywords

Vitreorretinopatía proliferante ; Complicación ; Tratamiento ; Diabetes ; Postoperatorio ; Iatrógeno ; Vitrectomía ; Medida sin contacto ; Sistema puntería ; Hemorragia ; Cuerpo vidrioso ; Desprendimiento retina ; Hombre ; Ojo patología ; Retinopatía ; Cuerpo vidrioso patología ; Endocrinopatía ; Cirugía ; Aparato circulatorio patología ; Vaso sanguíneo patología ;

Localisation / Location

INIST-CNRS, Cote INIST : 14946, 35400009827685.0020