Risk Factors for Recurrent Vitreous Hemorrhage in Type 2 Diabetes Mellitus Patients after Posterior Vitrectomy
(Background) The aim of this study was to determine the factors related to recurrent vitreous hemorrhage (RVH) in a sample of proliferative diabetic retinopathy (PDR) patients. (Methods) This was a retrospective, review-based study. We studied 183 eyes from 121 type 2 diabetes patients with PDR. We...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-04-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/8/2989 |
| _version_ | 1797604890631995392 |
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| author | Marc Baget-Bernaldiz Pedro Romero-Aroca Alejandra Mira-Puerto Angel Bautista-Perez Immaculada Roca-Borrut Montse Vizcarro Raul Navarro-Gil Monica Llagostera-Serra |
| author_facet | Marc Baget-Bernaldiz Pedro Romero-Aroca Alejandra Mira-Puerto Angel Bautista-Perez Immaculada Roca-Borrut Montse Vizcarro Raul Navarro-Gil Monica Llagostera-Serra |
| author_sort | Marc Baget-Bernaldiz |
| collection | DOAJ |
| description | (Background) The aim of this study was to determine the factors related to recurrent vitreous hemorrhage (RVH) in a sample of proliferative diabetic retinopathy (PDR) patients. (Methods) This was a retrospective, review-based study. We studied 183 eyes from 121 type 2 diabetes patients with PDR. We recorded the duration of diabetes, history of hypertension, retinal photocoagulation status, posterior vitreous status, mean HbA1c and hemoglobin levels, renal function, and systemic complications associated with diabetes. We also recorded surgical variables—the presence of tractional retinal detachment, the application of segmentation and diathermy on fibrovascular proliferative tissue, and the use of silicone oil—to study which independent variables were significantly related to the presence of RVH. (Results) The duration of diabetes (<i>p</i> = 0.028), hemoglobin level (<i>p</i> = 0.02), status of the posterior vitreous (<i>p</i> = 0.03), retinal photocoagulation status (<i>p</i> = 0.002), and the presence of tractional retinal detachment (<i>p</i> = 0.03) were significantly associated with the presence of RVH. On the other hand, the use of diathermy was associated with fewer RVH events (<i>p</i> < 0.005). In addition, patients with diabetic polyneuropathy, myocardial infarction, and ischemia in the lower limbs exhibited more vitreous hemorrhage events (<i>p</i> < 0.001). (Conclusions) Patients with PDR and a longer diabetes duration, anemia, attached posterior vitreous, deficient retinal photocoagulation, and prior cardiovascular events were more prone to RVH. |
| first_indexed | 2024-03-11T04:53:09Z |
| format | Article |
| id | doaj.art-a17cbf7bebfb4908b8c39635d4bbdd66 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T04:53:09Z |
| publishDate | 2023-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a17cbf7bebfb4908b8c39635d4bbdd662023-11-17T19:51:18ZengMDPI AGJournal of Clinical Medicine2077-03832023-04-01128298910.3390/jcm12082989Risk Factors for Recurrent Vitreous Hemorrhage in Type 2 Diabetes Mellitus Patients after Posterior VitrectomyMarc Baget-Bernaldiz0Pedro Romero-Aroca1Alejandra Mira-Puerto2Angel Bautista-Perez3Immaculada Roca-Borrut4Montse Vizcarro5Raul Navarro-Gil6Monica Llagostera-Serra7Ophthalmology Service, Hospital Universitario Sant Joan de Reus, 43204 Reus, SpainOphthalmology Service, Hospital Universitario Sant Joan de Reus, 43204 Reus, SpainPere Virgili Institute for Health Research (IISPV), 43204 Reus, SpainOphthalmology Service, Hospital Universitario Sant Joan de Reus, 43204 Reus, SpainPere Virgili Institute for Health Research (IISPV), 43204 Reus, SpainOphthalmology Service, Hospital Universitario Sant Joan de Reus, 43204 Reus, SpainOphthalmology Service, Hospital Universitario Sant Joan de Reus, 43204 Reus, SpainOphthalmology Service, Hospital Universitario Sant Joan de Reus, 43204 Reus, Spain(Background) The aim of this study was to determine the factors related to recurrent vitreous hemorrhage (RVH) in a sample of proliferative diabetic retinopathy (PDR) patients. (Methods) This was a retrospective, review-based study. We studied 183 eyes from 121 type 2 diabetes patients with PDR. We recorded the duration of diabetes, history of hypertension, retinal photocoagulation status, posterior vitreous status, mean HbA1c and hemoglobin levels, renal function, and systemic complications associated with diabetes. We also recorded surgical variables—the presence of tractional retinal detachment, the application of segmentation and diathermy on fibrovascular proliferative tissue, and the use of silicone oil—to study which independent variables were significantly related to the presence of RVH. (Results) The duration of diabetes (<i>p</i> = 0.028), hemoglobin level (<i>p</i> = 0.02), status of the posterior vitreous (<i>p</i> = 0.03), retinal photocoagulation status (<i>p</i> = 0.002), and the presence of tractional retinal detachment (<i>p</i> = 0.03) were significantly associated with the presence of RVH. On the other hand, the use of diathermy was associated with fewer RVH events (<i>p</i> < 0.005). In addition, patients with diabetic polyneuropathy, myocardial infarction, and ischemia in the lower limbs exhibited more vitreous hemorrhage events (<i>p</i> < 0.001). (Conclusions) Patients with PDR and a longer diabetes duration, anemia, attached posterior vitreous, deficient retinal photocoagulation, and prior cardiovascular events were more prone to RVH.https://www.mdpi.com/2077-0383/12/8/2989proliferative diabetic retinopathyrecurrent vitreous hemorrhagediabetes durationanemiaposterior vitreousretinal laser photocoagulation |
| spellingShingle | Marc Baget-Bernaldiz Pedro Romero-Aroca Alejandra Mira-Puerto Angel Bautista-Perez Immaculada Roca-Borrut Montse Vizcarro Raul Navarro-Gil Monica Llagostera-Serra Risk Factors for Recurrent Vitreous Hemorrhage in Type 2 Diabetes Mellitus Patients after Posterior Vitrectomy Journal of Clinical Medicine proliferative diabetic retinopathy recurrent vitreous hemorrhage diabetes duration anemia posterior vitreous retinal laser photocoagulation |
| title | Risk Factors for Recurrent Vitreous Hemorrhage in Type 2 Diabetes Mellitus Patients after Posterior Vitrectomy |
| title_full | Risk Factors for Recurrent Vitreous Hemorrhage in Type 2 Diabetes Mellitus Patients after Posterior Vitrectomy |
| title_fullStr | Risk Factors for Recurrent Vitreous Hemorrhage in Type 2 Diabetes Mellitus Patients after Posterior Vitrectomy |
| title_full_unstemmed | Risk Factors for Recurrent Vitreous Hemorrhage in Type 2 Diabetes Mellitus Patients after Posterior Vitrectomy |
| title_short | Risk Factors for Recurrent Vitreous Hemorrhage in Type 2 Diabetes Mellitus Patients after Posterior Vitrectomy |
| title_sort | risk factors for recurrent vitreous hemorrhage in type 2 diabetes mellitus patients after posterior vitrectomy |
| topic | proliferative diabetic retinopathy recurrent vitreous hemorrhage diabetes duration anemia posterior vitreous retinal laser photocoagulation |
| url | https://www.mdpi.com/2077-0383/12/8/2989 |
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