Outcomes of 25-gauge vitrectomy for proliferative diabetic retinopathy.

Abstract

BACKGROUND:

To evaluate the efficacy and safety of 25-gauge transconjunctival sutureless vitrectomy (25-G TSV) in the management of vitreoretinal complications of proliferative diabetic retinopathy (PDR).

METHODS:

A retrospective review of a noncomparative interventional case series including 200 eyes of 164 consecutive patients who underwent 25-G TSV for the management of PDR was performed. The main outcome measures were preoperative and postoperative visual acuity and intraocular pressure (IOP), the surgical success rate, and intraoperative and postoperative complications. All cases had a follow-up period of at least 6 months.

RESULTS:

The mean logarithm of the minimum angle of resolution (LogMAR) visual acuity was significantly improved from 1.55 preoperatively to 0.72 at the final visit. No intraoperative complications related to the 25-G TSV procedure were recorded. Transient hypotony was recorded in 18 eyes (9%) on postoperative day 1 and 15 eyes (7.5%) on postoperative day 5. Two of these eyes (1%) had choroidal detachment on postoperative day 5. One case showed bacterial endophthalmitis after the second surgery. The single operation and final surgical success rates were 81.5% and 98% respectively.

CONCLUSION:

These outcomes of 25-G TSV showed its safety and efficacy in the management of PDR.

• Authors: Mahmoud Mohamed Farouk, Takeshi Naito, Khulood Mohammed Sayed, Toshihiko Nagasawa, Takashi Katome, Gamal Radwan, Ahmad Abdallah, Mohamed Elagouz
• Journal: Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie (Graefes Arch Clin Exp Ophthalmol) Vol. 249 Issue 3 Pg. 369-76 (Mar 2011) ISSN: 1435-702X [Electronic] Germany
• PMID: 20848125 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Diabetic Retinopathy (physiopathology, surgery)
• Female
• Humans
• Intraocular Pressure (physiology)
• Intraoperative Complications
• Male
• Microsurgery (methods)
• Middle Aged
• Phacoemulsification
• Postoperative Complications
• Retrospective Studies
• Suture Techniques
• Treatment Outcome
• Visual Acuity (physiology)
• Vitrectomy (methods)