Retina-Vitreous
2009 , Vol 17 , Num 1
Review of our Pars Plana Vitrectomy Results for Proliferative Diabetic Retinopathy
1Ankara Numune Hastanesi, Göz Hastalıkları, Ankara, Asist. Dr.2Ankara Numune Hastanesi, Göz Hastalıkları, Ankara, Uzm. Dr
3Ankara Numune Hastanesi, Göz Hastalıkları, Ankara, Doç. Dr Purpose: To investigate anddiscus our results in patients having proliferative diabetic retinopathy (PDR) that underwent pars plana vitrectomy (PPV).
Materials and Methods: PPV results of 116 eyes 90 patients with PDR (ages betwen 34-83, Female/Male: 51/39) betwen July 2004- April 2008 were studied retrospectively. Preoperative and postoperative ocular findings, visual acuty and intraoperative complications were documented. Lens extraction was performed when needed. Operations were performed with standart three-port PPV setting. Core vitrectomy, dissection and excision of membranes, removal of the tractions, gase perflorocarbone, endolaser, intravitreal triamcinolone injection, silicone oil, circling scleral buckling procedures were applied.
Results: There were dense vitreous hemorrhage in 74 eyes (63%), tractional retinal detachment in 43 eyes (37%), anterior proliferative retinopathy in 18 eyes (15%), rhegmatogeneus retinal detechament in 7 eyes (6%), cataract causing difficult in visualitaion of the posterior in 21 eyes (18%). Retina reattachment was obtained in 42 eyes (84%). Postoperative visual acuity increase was found meaningful
Conclusion: PPV procedure has favorable effects on the anatomical and visual prognosis in eyes with PDR. Keywords : Diabetic retinopathy, pars plana vitrectomy