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Advantages of diabetic tractional retinal detachment repair

机译：糖尿病性牵引性视网膜脱离修复的优势

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Purpose: To evaluate the outcomes and complications of patients with diabetic tractional retinal detachment (TRD) treated with pars plana vitrectomy (PPV).Patients and methods: We retrospectively studied a case series of 24 eyes of 21 patients at a single tertiary, university-affiliated medical center. A review was carried out on patients who underwent PPV for the management of TRD due to proliferative diabetic retinopathy from October 2011 to November 2013. Preoperative and final visual outcomes, intraoperative and postoperative complications, and medical background were evaluated.Results: A 23?G instrumentation was used in 23 eyes (95.8%), and a 25?G instrumentation in one (4.2%). Mean postoperative follow-up time was 13.3?months (4–30?months). Visual acuity significantly improved from logarithm of the minimum angle of resolution (LogMAR) 1.48 to LogMAR 1.05 (P<0.05). Visual acuity improved by ≥3 lines in 75% of patients. Intraoperative complications included iatrogenic retinal breaks in seven eyes (22.9%) and vitreal hemorrhage in nine eyes (37.5%). In two eyes, one sclerotomy was enlarged to 20 G (8.3%). Postoperative complications included reoperation in five eyes (20.8%) due to persistent subretinal fluid (n=3), vitreous hemorrhage (n=1), and dislocated intraocular lens (n=1). Thirteen patients (54.2%) had postoperative vitreous hemorrhage that cleared spontaneously, five patients (20.8%) required antiglaucoma medications for increased intraocular pressure, seven patients (29.2%) developed an epiretinal membrane, and two patients (8.3%) developed a macular hole.Conclusion: Patients with diabetic TRD can benefit from PPV surgery. Intraoperative and postoperative complications can be attributed to the complexity of this disease.
机译：目的：评估经平面玻璃体切除术（PPV）治疗的糖尿病性牵引性视网膜脱离（TRD）患者的结局和并发症。患者和方法：我们回顾性研究了21例24眼的病例，在一家大学，专科医院就诊。附属医疗中心。对2011年10月至2013年11月因增生性糖尿病视网膜病变而接受PPV治疗TRD的患者进行了回顾。评估了术前和最终的视觉效果，术中和术后并发症以及医学背景。结果：23？G使用23眼（95.8％）的仪器，使用25？G的仪器一只（4.2％）。术后平均随访时间为13.3个月（4-30个月）。视敏度从最小分辨角（LogMAR）1.48的对数显着提高到LogMAR 1.05（P <0.05）。 75％的患者的视敏度提高了≥3行。术中并发症包括7眼（22.9％）的医源性视网膜裂孔和9眼（37.5％）的玻璃体出血。在两只眼睛中，一个硬膜切开术扩大到20 G（8.3％）。术后并发症包括由于持续性视网膜下积液（n = 3），玻璃体出血（n = 1）和人工晶状体脱位（n = 1）而导致的五只眼再次手术（20.8％）。十三例（54.2％）的患者术后玻璃体出血可自发清除，五例（20.8％）的患者需要抗青光眼药物以提高眼内压，七例（29.2％）的患者形成了视网膜前膜，而二例（8.3％）的患者出现了黄斑裂孔结论：糖尿病TRD患者可以从PPV手术中受益。术中和术后并发症可归因于该疾病的复杂性。

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