没有为 tractional 的 endotamponade 的同等 plana vitrectomy 的结果对 proliferative 糖尿病患者 retinopathy 第二等的网膜的分开

• 作者: Muhammad Farhan Saleem Muhammad Imran Saleem Rao Muhammad Rashad Qamar
• 来源期刊: 国际眼科杂志：英文版
• 学科: 医学
• 关键词: endotamponade PARS plana VITRECTOMY PROLIFERATIVE diabetic RETINOPATHY tractional RETINAL DETACHMENT
• 年，卷（期）: 2013,（5）
• 页码范围: 671-674
• 页数: 4页
• 分类号: R774.1

摘要

AIM:To evaluate the outcomes of pars plana vitrectomy(PPV) without the use of an ocular tamponade in patients having tractional retinal detachment(TRD) secondary to proliferative diabetic retinopathy(PDR).METHODS:It was an interventional study conducted at the Department of Ophthalmology,B.V.Hospital,Bahawalpur,Pakistan,from July 2011 to July 2012.A total of 75 patients(84 eyes) having TRD secondary to PDR were treated by PPV without using an ocular tamponade.All patients included in the study had a tractional retinal detachement secondary to proliferative diabetic retinopathy but didn’t have or develop retinal breaks before or during the study period.The surgical procedure included a PPV combined with the removal of the tractional retinal membranes and the application of endolaser photocoagulation to the retina.The mean follow-up period was 12 months. RESULTS:Successful retinal reattachement was observed in 78 of the operated eyes(92.8%).In these patients,the retina remained attached till the end of the one year follow-up period.Improvement in best corrected visual acuity(BCVA) was seen in 63 eyes(75%).The visual acuity remained unchanged in 9 eyes(10.7%).Mean improvement in BCVA was 2.00 +1.24 at baseline to 1.24+1.22(P【0.05) at the end of the followup period.CONCLUSION:In the absence of the retinal breaks,a TRD secondary to PDR can be successfully treated by pars plana vitrectomy without the use of an ocular tamponade.