Comparison of pars plana vitrectomy and combined pars plana vitrectomy with phacoemulsification for proliferative diabetic retinopathy: A retrospective study about 120 eyes
Purpose: To compare the outcomes of pars plana vitrectomy (PPV) and combined PPV with phacoemulsification (PPVCE) surgeries for proliferative diabetic retinopathy (PDR) and cataract treatment. Methods: Retrospective analysis of 120 diabetic patients who underwent PPV or PPVCE. Results: The key outco...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2024;volume=72;issue=14;spage=287;epage=292;aulast=Idrissi |
| _version_ | 1797246436751966208 |
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| author | Sara Ben Addou Idrissi Omar Bengebara Mohammed Filali Sadouk Mohamed Himmich Lina Lahlou Habiba El Ouazzani Taybi Hassan Moutei Ahmed Bennis Fouad Chraibi Meriem Abdellaoui Idriss Benatiya Andaloussi |
| author_facet | Sara Ben Addou Idrissi Omar Bengebara Mohammed Filali Sadouk Mohamed Himmich Lina Lahlou Habiba El Ouazzani Taybi Hassan Moutei Ahmed Bennis Fouad Chraibi Meriem Abdellaoui Idriss Benatiya Andaloussi |
| author_sort | Sara Ben Addou Idrissi |
| collection | DOAJ |
| description | Purpose: To compare the outcomes of pars plana vitrectomy (PPV) and combined PPV with phacoemulsification (PPVCE) surgeries for proliferative diabetic retinopathy (PDR) and cataract treatment. Methods: Retrospective analysis of 120 diabetic patients who underwent PPV or PPVCE. Results: The key outcome indicators were best-corrected visual acuity (BCVA) and post-operative complications. The PPVCE group had an average age of 53 years, with 50% females and 50% males. The initial visual acuity (VA) was 1.84 log MAR. In this group, BCVA remained stable or increased in 61 eyes (74%). Regarding the PPV group, the average age was 43 years; 65% were men while 34% were women. The initial VA was 1.83 log MAR; in this group, the VA increased or remained stable in 28 eyes (73%). The evolution of the VA was rather symmetric in the two groups without a significant difference (P = 0.9). Similarly, the occurrence of postoperative complications was comparable for the main complications studied, namely the inflammatory reaction (P = 0.809), ocular hypertension (P = 0.344), corneal edema (P = 0.07), and neovascular glaucoma (P = 0.413). However, there was a decrease in BCVA (three lines) in the PPV group after 6 months of follow-up (P = 0.05) in patients with a clear lens preoperatively and who developed a clinically evident cataract. Conclusion: According to this study, for diabetic patients with severe cataracts and vitreoretinal disease requiring vitrectomy, combining vitrectomy with phacoemulsification as a single surgical intervention may be a suitable therapeutic choice. This approach does not significantly increase the risk of visual impairment or retinopathy development. |
| first_indexed | 2024-04-24T19:42:46Z |
| format | Article |
| id | doaj.art-2813ffd9595d434b930f644329e53eda |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-04-24T19:42:46Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-2813ffd9595d434b930f644329e53eda2024-03-25T10:29:00ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892024-01-01721428729210.4103/IJO.IJO_1976_23Comparison of pars plana vitrectomy and combined pars plana vitrectomy with phacoemulsification for proliferative diabetic retinopathy: A retrospective study about 120 eyesSara Ben Addou IdrissiOmar BengebaraMohammed Filali SadoukMohamed HimmichLina LahlouHabiba El Ouazzani TaybiHassan MouteiAhmed BennisFouad ChraibiMeriem AbdellaouiIdriss Benatiya AndaloussiPurpose: To compare the outcomes of pars plana vitrectomy (PPV) and combined PPV with phacoemulsification (PPVCE) surgeries for proliferative diabetic retinopathy (PDR) and cataract treatment. Methods: Retrospective analysis of 120 diabetic patients who underwent PPV or PPVCE. Results: The key outcome indicators were best-corrected visual acuity (BCVA) and post-operative complications. The PPVCE group had an average age of 53 years, with 50% females and 50% males. The initial visual acuity (VA) was 1.84 log MAR. In this group, BCVA remained stable or increased in 61 eyes (74%). Regarding the PPV group, the average age was 43 years; 65% were men while 34% were women. The initial VA was 1.83 log MAR; in this group, the VA increased or remained stable in 28 eyes (73%). The evolution of the VA was rather symmetric in the two groups without a significant difference (P = 0.9). Similarly, the occurrence of postoperative complications was comparable for the main complications studied, namely the inflammatory reaction (P = 0.809), ocular hypertension (P = 0.344), corneal edema (P = 0.07), and neovascular glaucoma (P = 0.413). However, there was a decrease in BCVA (three lines) in the PPV group after 6 months of follow-up (P = 0.05) in patients with a clear lens preoperatively and who developed a clinically evident cataract. Conclusion: According to this study, for diabetic patients with severe cataracts and vitreoretinal disease requiring vitrectomy, combining vitrectomy with phacoemulsification as a single surgical intervention may be a suitable therapeutic choice. This approach does not significantly increase the risk of visual impairment or retinopathy development.http://www.ijo.in/article.asp?issn=0301-4738;year=2024;volume=72;issue=14;spage=287;epage=292;aulast=Idrissicataract surgerycombined surgerydiabetesdiabetic retinopathypars plana vitrectomyphacoemulsification |
| spellingShingle | Sara Ben Addou Idrissi Omar Bengebara Mohammed Filali Sadouk Mohamed Himmich Lina Lahlou Habiba El Ouazzani Taybi Hassan Moutei Ahmed Bennis Fouad Chraibi Meriem Abdellaoui Idriss Benatiya Andaloussi Comparison of pars plana vitrectomy and combined pars plana vitrectomy with phacoemulsification for proliferative diabetic retinopathy: A retrospective study about 120 eyes Indian Journal of Ophthalmology cataract surgery combined surgery diabetes diabetic retinopathy pars plana vitrectomy phacoemulsification |
| title | Comparison of pars plana vitrectomy and combined pars plana vitrectomy with phacoemulsification for proliferative diabetic retinopathy: A retrospective study about 120 eyes |
| title_full | Comparison of pars plana vitrectomy and combined pars plana vitrectomy with phacoemulsification for proliferative diabetic retinopathy: A retrospective study about 120 eyes |
| title_fullStr | Comparison of pars plana vitrectomy and combined pars plana vitrectomy with phacoemulsification for proliferative diabetic retinopathy: A retrospective study about 120 eyes |
| title_full_unstemmed | Comparison of pars plana vitrectomy and combined pars plana vitrectomy with phacoemulsification for proliferative diabetic retinopathy: A retrospective study about 120 eyes |
| title_short | Comparison of pars plana vitrectomy and combined pars plana vitrectomy with phacoemulsification for proliferative diabetic retinopathy: A retrospective study about 120 eyes |
| title_sort | comparison of pars plana vitrectomy and combined pars plana vitrectomy with phacoemulsification for proliferative diabetic retinopathy a retrospective study about 120 eyes |
| topic | cataract surgery combined surgery diabetes diabetic retinopathy pars plana vitrectomy phacoemulsification |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2024;volume=72;issue=14;spage=287;epage=292;aulast=Idrissi |
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