ID 80827
Author
Sayed, Khulood M Department of Ophthalmology and Visual Neuroscience, Institute of Health Biosciences, the University of Tokushima Graduate School|Department of Ophthalmology, Sohag Faculty of medicine, Sohag University
Naito, Takeshi Department of Ophthalmology and Visual Neuroscience, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Farouk, Mahmoud M Department of Ophthalmology and Visual Neuroscience, Institute of Health Biosciences, the University of Tokushima Graduate School|Department of Ophthalmology, Sohag Faculty of medicine, Sohag University
Nagasawa, Toshihiko Department of Ophthalmology and Visual Neuroscience, Institute of Health Biosciences, the University of Tokushima Graduate School
Katome, Takashi Department of Ophthalmology and Visual Neuroscience, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Mitamura, Yoshinori Department of Ophthalmology and Visual Neuroscience, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
sutureless vitrectomy
proliferative diabetic retinopathy
simple macular pathology
wound sealing related complications
hypotony
Content Type
Journal Article
Description
Purpose : To compare the incidence of wound sealing-related complications of
25-gauge transconjunctival sutureless vitrectomy (25-G TSV) for proliferative diabetic retinopathy
(PDR) versus non-diabetic simple macular pathology (SMP). Methods : A retrospective
comparative study was conducted on 377 eyes that underwent 25-G TSV for PDR
(n=189 eyes) or non-diabetic SMP (n=188 eyes). Both groups were compared retrospectively
and followed for at least 1 month (range 1-6 months). Main outcome measure was
the incidence of postoperative wound sealing-related complications in both groups. Results
: We found a statistically significant lower incidence of wound sealing-related complications
on the 1st postoperative day in the PDR than SMP group (P-value 0.05). The
incidence were as follows : 9% vs 18% for hypotony, 0% vs 2% for choroidal detachment,
0% vs 2% for external leakage and 1% vs 8% for conjunctival bleb formation, for the PDR
and SMP groups respectively. This was associated with a significantly higher postoperative
inflammation and IOP in PDR group. The day 1 higher postoperative IOP and inflammation
were correlated with the presence of PDR pathology. Conclusion : The higher postoperative
inflammation and IOP following vitrectomy in diabetic eyes, especially when
combined with endolaser photocoagulation, makes such eyes less susceptible to wound
sealing-related complications following sutureless vitrectomy.
Journal Title
The journal of medical investigation : JMI
ISSN
13431420
NCID
AA11166929
Volume
58
Issue
1-2
Start Page
29
End Page
38
Sort Key
29
Published Date
2011-02
Remark
The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
EDB ID
FullText File
language
eng
departments
International Center
University Hospital
Medical Sciences