VISUAL OUTCOME OF SURGICAL MANAGEMENT OF EYES WITH MACULA INVOLVING OR MACULA THREATENING TRACTIONAL RETINAL DETACHMENT

  • DR. QUNDEEL ZAHRA Postgraduate Medical Institute, Lahore General Hospital, Lahore
  • DR. HUSSAIN AHMAD KHAQAN Postgraduate Medical Institute, Lahore General Hospital, Lahore
  • DR. HADIA JABEEN Postgraduate Medical Institute, Lahore General Hospital, Lahore
  • DR. FARRUKH JAMEEL Postgraduate Medical Institute, Lahore General Hospital, Lahore
Keywords: Diabetes Mellitus, Visual Acuity And Vitrectomy

Abstract

Objectives: To assess and analyze the visual outcome of surgical management in consecutive series of eyes with macula involving or macula threatening tractional retinal detachment

Material and Methods: Sixty five cases of diabetic retinopathy were included who fulfilled the inclusion and exclusion criteria.

Results: The mean ± SD age was 50.97±8.03. The mean duration of diabetes mellitus was 14.68±7.02. Preoperative visual acuity was 6/18, 2(3.1%), 6/24, 6(9.2%), 6/36, 5 (7.6%), 6/60, 11 (16.9%), CF visual acuity was 23 (35.4%) patients, HM was 10, (15.4%) patients and PLPR 8 (12.3%) patients respectively. While postoperative visual acuity after 6 months was 6/12, 2(3.1%), 6/18, 7 (10.8%), HM 4 (6.2%), PLPR 6 (9.2%) and 2 (3.1%) patients had NPL which is statistically significant (p <0.02).

Conclusion: Major complications are rare after vitrectomy for advanced proliferative diabetic retinopathy, and >70% of eyes regain vision of 6/60 or better.

Published
2013-09-01