Vitrectomy simultaneously combined with phacoemulsification for treating PDR

AIM: To explore the effects of vitrectomy simultaneously combined with phacoemulsification on visual acuity, intraocular pressure(IOP), central macular thickness(CMT)and postoperative complications in patients with proliferative diabetic retinopathy(PDR).<p>METHODS:Totally 90 PDR patients(98 e...

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Main Authors: Yu-Hong Li, Ling-Kui Ma
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2019-03-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2019/3/201903030.pdf
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author Yu-Hong Li
Ling-Kui Ma
author_facet Yu-Hong Li
Ling-Kui Ma
author_sort Yu-Hong Li
collection DOAJ
description AIM: To explore the effects of vitrectomy simultaneously combined with phacoemulsification on visual acuity, intraocular pressure(IOP), central macular thickness(CMT)and postoperative complications in patients with proliferative diabetic retinopathy(PDR).<p>METHODS:Totally 90 PDR patients(98 eyes)admitted to the hospital from February 2015 to February 2017 were divided into two groups according to the principle of voluntariness: group A(vitectomy simultaneously combined with lensectomy, 45 cases, 50 eyes)and group B(vitrectomy simultaneously combined with phacoemulsification, 45 cases, 48 eyes). The follow-up period was 6mo. The visual acuity improvement, IOP before and after surgery, CMT and incidence of postoperative complications were compared between the two groups.<p>RESULTS: The visual acuity improvement after surgery in group B was significantly better than that in group A, and the improving rate of visual acuity was significantly higher than that in group A(<i>P</i><0.05). There was no significant difference in IOP before and after surgery between the two groups(<i>P</i>>0.05). The CMT after surgery was decreased significantly in both groups. CMT in both groups was not statistically different(<i>P</i>>0.05). The incidence rates of postoperative complication ssuch as INV, capsule turbidity, corneal edema, pupil hijacking and hard exudate in group B were significantly lower than those in group A(<i>P</i><0.05).<p>CONCLUSION:Vitrectomy simultaneously combined with phacoemulsification have obvious efficacy on PDR, which promote recovery of postoperative visual acuity, reduce CMT, and it has low risk of postoperative complications.
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spelling doaj.art-3bc14d5364314cb3a3fae3383415d4b92022-12-22T03:05:12ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232019-03-0119347447610.3980/j.issn.1672-5123.2019.3.30Vitrectomy simultaneously combined with phacoemulsification for treating PDRYu-Hong Li0Ling-Kui Ma1Department of Ophthalmology, Tianmen First People's Hospital, Tianmen 431700, Hubei Province, ChinaDepartment of Ophthalmology, Tianmen First People's Hospital, Tianmen 431700, Hubei Province, ChinaAIM: To explore the effects of vitrectomy simultaneously combined with phacoemulsification on visual acuity, intraocular pressure(IOP), central macular thickness(CMT)and postoperative complications in patients with proliferative diabetic retinopathy(PDR).<p>METHODS:Totally 90 PDR patients(98 eyes)admitted to the hospital from February 2015 to February 2017 were divided into two groups according to the principle of voluntariness: group A(vitectomy simultaneously combined with lensectomy, 45 cases, 50 eyes)and group B(vitrectomy simultaneously combined with phacoemulsification, 45 cases, 48 eyes). The follow-up period was 6mo. The visual acuity improvement, IOP before and after surgery, CMT and incidence of postoperative complications were compared between the two groups.<p>RESULTS: The visual acuity improvement after surgery in group B was significantly better than that in group A, and the improving rate of visual acuity was significantly higher than that in group A(<i>P</i><0.05). There was no significant difference in IOP before and after surgery between the two groups(<i>P</i>>0.05). The CMT after surgery was decreased significantly in both groups. CMT in both groups was not statistically different(<i>P</i>>0.05). The incidence rates of postoperative complication ssuch as INV, capsule turbidity, corneal edema, pupil hijacking and hard exudate in group B were significantly lower than those in group A(<i>P</i><0.05).<p>CONCLUSION:Vitrectomy simultaneously combined with phacoemulsification have obvious efficacy on PDR, which promote recovery of postoperative visual acuity, reduce CMT, and it has low risk of postoperative complications.http://ies.ijo.cn/cn_publish/2019/3/201903030.pdfvitrectomyphacoemulsificationproliferative diabetic retinopathycomplication
spellingShingle Yu-Hong Li
Ling-Kui Ma
Vitrectomy simultaneously combined with phacoemulsification for treating PDR
Guoji Yanke Zazhi
vitrectomy
phacoemulsification
proliferative diabetic retinopathy
complication
title Vitrectomy simultaneously combined with phacoemulsification for treating PDR
title_full Vitrectomy simultaneously combined with phacoemulsification for treating PDR
title_fullStr Vitrectomy simultaneously combined with phacoemulsification for treating PDR
title_full_unstemmed Vitrectomy simultaneously combined with phacoemulsification for treating PDR
title_short Vitrectomy simultaneously combined with phacoemulsification for treating PDR
title_sort vitrectomy simultaneously combined with phacoemulsification for treating pdr
topic vitrectomy
phacoemulsification
proliferative diabetic retinopathy
complication
url http://ies.ijo.cn/cn_publish/2019/3/201903030.pdf
work_keys_str_mv AT yuhongli vitrectomysimultaneouslycombinedwithphacoemulsificationfortreatingpdr
AT lingkuima vitrectomysimultaneouslycombinedwithphacoemulsificationfortreatingpdr