Abstract | PURPOSE: To compare the incidence of wound sealing-related complications of 25-gauge transconjunctival sutureless vitrectomy (25-G TSV) for proliferative diabetic retinopathy (PDR) versus non-diabetic simple macular pathology (SMP). METHODS: A retrospective comparative study was conducted on 377 eyes that underwent 25-G TSV for PDR (n=189 eyes) or non-diabetic SMP (n=188 eyes). Both groups were compared retrospectively and followed for at least 1 month (range 1-6 months). Main outcome measure was the incidence of postoperative wound sealing-related complications in both groups. RESULTS: We found a statistically significant lower incidence of wound sealing-related complications on the 1st postoperative day in the PDR than SMP group (P-value<0.05). The incidence were as follows: 9% vs 18% for hypotony, 0% vs 2% for choroidal detachment, 0% vs 2% for external leakage and 1% vs 8% for conjunctival bleb formation, for the PDR and SMP groups respectively. This was associated with a significantly higher postoperative inflammation and IOP in PDR group. The day 1 higher postoperative IOP and inflammation were correlated with the presence of PDR pathology. CONCLUSION:
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Authors | Khulood M Sayed, Takeshi Naito, Mahmoud M Farouk, Toshihiko Nagasawa, Takashi Katome, Yoshinori Mitamura |
Journal | The journal of medical investigation : JMI
(J Med Invest)
Vol. 58
Issue 1-2
Pg. 29-38
(Feb 2011)
ISSN: 1349-6867 [Electronic] Japan |
PMID | 21372484
(Publication Type: Comparative Study, Journal Article)
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Topics |
- Aged
- Diabetic Retinopathy
(surgery)
- Female
- Humans
- Macula Lutea
(pathology, surgery)
- Male
- Middle Aged
- Postoperative Complications
(etiology)
- Retinal Diseases
(pathology, surgery)
- Retrospective Studies
- Vitrectomy
(adverse effects, instrumentation)
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