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
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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
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Mitamura, Yoshinori
Department of Ophthalmology and Visual Neuroscience, Institute of Health Biosciences, the University of Tokushima Graduate School
Tokushima University Educator and Researcher Directory
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|
Keywords | sutureless vitrectomy
proliferative diabetic retinopathy
simple macular pathology
wound sealing related complications
hypotony
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Content Type |
Journal Article
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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
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ISSN | 13431420
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NCID | AA11166929
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Volume | 58
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Issue | 1-2
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Start Page | 29
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End Page | 38
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Sort Key | 29
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Published Date | 2011-02
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Remark | The journal of medical investigation : http://medical.med.tokushima-u.ac.jp/jmi/index.html
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EDB ID | |
FullText File | |
language |
eng
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departments |
International Center
University Hospital
Medical Sciences
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