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¹Gaziosmanpaşa Üniversitesi Tıp Fakültesi Göz Hastalıkları A.D., Tokat, Doç. Dr.
²Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Tokat, Yard. Doç Dr.
³Gaziosmanpaşa Üniversitesi Tıp Fakültesi, Göz Hastalıkları A.D., Tokat, Asist Dr. Purpose: To review our results in Type 2 diabetic patients with proliferative diabetic retinopathy (PDR) that underwent pars plana vitrectomy (PPV).
MaterialS and Methods: The results from 27 eyes of 26 patients with PDR (ages 37-76, female/male: 13/13) between December 2005 and March 2007 were investigated retrospectively. Preoperative and postoperative ocular findings, visual acuity, and peroperative and postoperative complications were documented. All operations were performed with the standard three-port PPV setting. Core and peripheral vitrectomy, dissection and excision of membranes, removal of tractions, retinotomy and retinectomy, liquid and gas perflorocarbone, intravitreal triamcinolone injection, silicon oil, endolaser, and scleral buckling procedures were used.
Results: There were dense vitreous hemorrhage in 25 eyes (92.5%), tractional retinal detachment in 9 eyes (33.3%), tractional-regmatogenous retinal detachment in 2 eyes (7.4%), cataract causing difficulty in visualization of the posterior segment in 5 eyes (19.2%), and anterior proliferative vitreoretinopathy in 2 eyes (7.4%). Retinal reattachment was achieved in 10 eyes (90.9%) with retinal detachment. Visual acuity improved in 13 eyes (50%), remained the same in 8 eyes (30.7%), and decreased in 5 eyes (19.3%).
Conclusions: PPV is a favorable procedure for diabetic patients, depending on the time of the first examination, visual acuity, and regular follow-up. Keywords : Proliferative diabetic retinopathy, pars plana vitrectomy, type 2 diabetes mellitus