Macular Hole Formation After Pars Plana Vitrectomy for Diabetic Tractional Retinal Detachment.
Ophthalmic Surg Lasers Imaging Retina
; 49(12): e256-e262, 2018 12 01.
Article
in En
| MEDLINE
| ID: mdl-30566711
ABSTRACT
BACKGROUND AND OBJECTIVE:
To investigate the incidence, clinical features, and outcomes of patients with macular hole (MH) formation after pars plana vitrectomy (PPV) for diabetic tractional retinal detachment (TRD). PATIENTS ANDMETHODS:
We conducted a retrospective review of all cases of PPV for diabetic TRD performed by a surgeon (DS) at a large county hospital between November 2013 and August 2016.RESULTS:
Ninety consecutive eyes of 79 patients were included in this case series, of which four eyes developed MH, yielding an incidence of 4.4% (95% confidence interval [CI], 1.2%-11.0%). The mean interval between PPV for TRD and MH formation was 7.0 ± 5.5 (mean ± 1 standard deviation) months, and mean follow-up time was 29.6 months ± 6.9 months. Three of the four eyes that developed MH underwent intervention, and of the three that underwent intervention, all had successful hole closure.CONCLUSION:
In this case series, the incidence of MH after PPV for TRD is 4.4% (95% CI, 1.2%-11.0%). The mechanism of MH formation after diabetic TRD repair is not certain but may be related to a taut internal limiting membrane, epiretinal membrane formation, macular edema, or residual vitreous contraction. [Ophthalmic Surg Lasers Imaging Retina. 2018;49e256-e262.].
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Postoperative Complications
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Retinal Perforations
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Vitrectomy
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Retinal Detachment
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Visual Acuity
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Diabetic Retinopathy
Type of study:
Diagnostic_studies
/
Etiology_studies
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Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Aged
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Female
/
Humans
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Male
/
Middle aged
Language:
En
Journal:
Ophthalmic Surg Lasers Imaging Retina
Year:
2018
Type:
Article