Surgical Outcomes of Vitrectomy in Patients with Complications of Diabetic Retinopathy at A Tertiary Care Center
OBJECTIVE: Surgical outcomes of vitrectomy in patients with complications of diabetic retinopathy in a tertiary care center. METHODOLOGY: In this prospective, observational, interventional study, the fifty eyes underwent pars plan vitrectomy (PPV) for complications of proliferative diabetic retinop...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Liaquat University of Medical and Health Sciences
2021-09-01
|
| Series: | JLUMHS |
| Subjects: |
| _version_ | 1828095425090945024 |
|---|---|
| author | Sharjeel Sultan Ayisha Shakeel Mahtab Alam Khanzada Yawar Zaman Zeeshan Kamil Nazish Waris |
| author_facet | Sharjeel Sultan Ayisha Shakeel Mahtab Alam Khanzada Yawar Zaman Zeeshan Kamil Nazish Waris |
| author_sort | Sharjeel Sultan |
| collection | DOAJ |
| description | OBJECTIVE: Surgical outcomes of vitrectomy in patients with complications of diabetic retinopathy in a tertiary care center.
METHODOLOGY: In this prospective, observational, interventional study, the fifty eyes underwent pars plan vitrectomy (PPV) for complications of proliferative diabetic retinopathy (PDR) from January to September 2019. The visual success for patients who underwent PPV was determined by the estimation of best-corrected visual acuity (BCVA) and central macular thickness (CMT) during the follow-up period. Statistical package for social science (SPSS) version 20 was used for data analysis.
RESULTS: In this study, 86% of eyes achieved BCVA of better than 20/200. The common complication was an iatrogenic break (20%) during a surgical procedure; other complications include increase intraocular pressure (20%), hypotony (12%), and postoperative vitreous hemorrhage (14%). The use of intraoperative anti-VGGF was found to reduce intra-operative and recurrent vitreous hemorrhage with good visual outcomes.
CONCLUSION: Despite medical advances in the management of patients with diabetes, mixed-gauge vitrectomy remains essential for visual rehabilitation of selected patients with non-clearing VH and tractional complications of PDR, and the use of AVEGF pre and postoperative enhance our ability to achieve the good visual outcome |
| first_indexed | 2024-04-11T07:13:31Z |
| format | Article |
| id | doaj.art-8b82e096fabe4360bb77500532c89efc |
| institution | Directory Open Access Journal |
| issn | 1729-0341 2309-8627 |
| language | English |
| last_indexed | 2024-04-11T07:13:31Z |
| publishDate | 2021-09-01 |
| publisher | Liaquat University of Medical and Health Sciences |
| record_format | Article |
| series | JLUMHS |
| spelling | doaj.art-8b82e096fabe4360bb77500532c89efc2022-12-22T04:38:05ZengLiaquat University of Medical and Health SciencesJLUMHS1729-03412309-86272021-09-01200318719210.22442/jlumhs.2021.00843Surgical Outcomes of Vitrectomy in Patients with Complications of Diabetic Retinopathy at A Tertiary Care CenterSharjeel Sultan 0Ayisha Shakeel 1Mahtab Alam Khanzada 2Yawar Zaman 3Zeeshan Kamil 4Nazish Waris 5Assistant Professor of Ophthalmology Dow University of Health Sciences/ Civil Hospital Karachi, Sindh-Pakistan.Assistant Professor Al-Nafees Medical College and Hospital Isra University, Islamabad-Pakistan.Associate Professor of Ophthalmology Institute of Ophthalmology Liaquat University of Medical & Health Sciences Jamshoro, Sindh-Pakistan. Assistant Professor of Ophthalmology LUMHS, Jamshoro, Sindh-Pakistan.Associate Professor of Ophthalmology Jinnah Medical & Dental College Karachi, Sindh-Pakistan.Research Associate Baqai Institute of Diabetology and Endocrinology Baqai Medical University, Karachi, Sindh-Pakistan. OBJECTIVE: Surgical outcomes of vitrectomy in patients with complications of diabetic retinopathy in a tertiary care center. METHODOLOGY: In this prospective, observational, interventional study, the fifty eyes underwent pars plan vitrectomy (PPV) for complications of proliferative diabetic retinopathy (PDR) from January to September 2019. The visual success for patients who underwent PPV was determined by the estimation of best-corrected visual acuity (BCVA) and central macular thickness (CMT) during the follow-up period. Statistical package for social science (SPSS) version 20 was used for data analysis. RESULTS: In this study, 86% of eyes achieved BCVA of better than 20/200. The common complication was an iatrogenic break (20%) during a surgical procedure; other complications include increase intraocular pressure (20%), hypotony (12%), and postoperative vitreous hemorrhage (14%). The use of intraoperative anti-VGGF was found to reduce intra-operative and recurrent vitreous hemorrhage with good visual outcomes. CONCLUSION: Despite medical advances in the management of patients with diabetes, mixed-gauge vitrectomy remains essential for visual rehabilitation of selected patients with non-clearing VH and tractional complications of PDR, and the use of AVEGF pre and postoperative enhance our ability to achieve the good visual outcomevitrectomyintravitreal anti-vegfpdr complications23 g25 g27 g. |
| spellingShingle | Sharjeel Sultan Ayisha Shakeel Mahtab Alam Khanzada Yawar Zaman Zeeshan Kamil Nazish Waris Surgical Outcomes of Vitrectomy in Patients with Complications of Diabetic Retinopathy at A Tertiary Care Center JLUMHS vitrectomy intravitreal anti-vegf pdr complications 23 g 25 g 27 g. |
| title | Surgical Outcomes of Vitrectomy in Patients with Complications of Diabetic Retinopathy at A Tertiary Care Center |
| title_full | Surgical Outcomes of Vitrectomy in Patients with Complications of Diabetic Retinopathy at A Tertiary Care Center |
| title_fullStr | Surgical Outcomes of Vitrectomy in Patients with Complications of Diabetic Retinopathy at A Tertiary Care Center |
| title_full_unstemmed | Surgical Outcomes of Vitrectomy in Patients with Complications of Diabetic Retinopathy at A Tertiary Care Center |
| title_short | Surgical Outcomes of Vitrectomy in Patients with Complications of Diabetic Retinopathy at A Tertiary Care Center |
| title_sort | surgical outcomes of vitrectomy in patients with complications of diabetic retinopathy at a tertiary care center |
| topic | vitrectomy intravitreal anti-vegf pdr complications 23 g 25 g 27 g. |
| work_keys_str_mv | AT sharjeelsultan surgicaloutcomesofvitrectomyinpatientswithcomplicationsofdiabeticretinopathyatatertiarycarecenter AT ayishashakeel surgicaloutcomesofvitrectomyinpatientswithcomplicationsofdiabeticretinopathyatatertiarycarecenter AT mahtabalamkhanzada surgicaloutcomesofvitrectomyinpatientswithcomplicationsofdiabeticretinopathyatatertiarycarecenter AT yawarzaman surgicaloutcomesofvitrectomyinpatientswithcomplicationsofdiabeticretinopathyatatertiarycarecenter AT zeeshankamil surgicaloutcomesofvitrectomyinpatientswithcomplicationsofdiabeticretinopathyatatertiarycarecenter AT nazishwaris surgicaloutcomesofvitrectomyinpatientswithcomplicationsofdiabeticretinopathyatatertiarycarecenter |