Retina-Vitreous
2010 , Vol 18 , Num 3
Microincisional Pars Plana Vitrectomy in the Treatment of Diabetic Retinopathy Complications Without Retinal Detachment
1Beyoğlu Göz Eğitim ve Araştırma Hastanesi, 4.Göz Kliniği, İstanbul, Uzm. Dr.2Beyoğlu Göz Eğitim ve Araştırma Hastanesi, 4.Göz Kliniği, İstanbul, Prof. Dr.
3Beyoğlu Göz Eğitim ve Araştırma Hastanesi, 4.Göz Kliniği, İstanbul, Asist. Dr.
4Beyoğlu Göz Eğitim ve Araştırma Hastanesi, 3.Göz Kliniği, İstanbul, Uzm. Dr. Purpose: Aim of this study is to evaluate the effectiveness, safety and potential complications of microincisional pars plana vitrectomy in the treatment of diabetic retinopathy complications without retinal detachment.
Materials and Methods: Patients data who were operated from February 2007-June 2009 with 23 G microincisional vitrectomy for the treatment of intraocular/subhyaloid hemorrhage, vitreomacular traction and epiretinal membrane secondary to diabetic retinopathy were reviewed for postoperative intraocular pressure, visual acuity changes and postoperative complications.
Results: Forty seven eyes of 45 patients were included in the study. Mean age was 58.9 (±10.57). Mean follow up time was 16.2 months (4-35). Statistically significant decrease in the mean visual acuity was observed at the1st postoperative day (p: 0,018), but at the first postoperative week mean visual acuity change was insignificant (p:0.113). Statistically significant increase in the mean visual acuity was observed at the1st month and at the last visit respectively (p<0.001, p<0.001). Postoperative mean intraocular pressure decreased significantly at the 1st postoperative day (p<0.001), while changes at the1st week, 1st month and last visit intraocular pressure values were insignificant (p: 0.334, p: 0.068, p: 0.472).
Conclusion: 23 G microincisional vitrectomy is found to be effective in the treatment of complications of diabetic retinopathy without retinal detachment in this study. We think that with the growing endication field 23 G vitrectomy has good patient comfort and is a safe procedure with well tolerated complications. Keywords : Diabetic retinopaty, microinsional pars plana vitrectomy
