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Outcomes of 25-gauge vitrectomy for proliferative diabetic retinopathy

  • Retinal Disorders
  • Published:
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Abstract

Background

To evaluate the efficacy and safety of 25-gauge transconjunctival sutureless vitrectomy (25-G TSV) in the management of vitreoretinal complications of proliferative diabetic retinopathy (PDR).

Methods

A retrospective review of a noncomparative interventional case series including 200 eyes of 164 consecutive patients who underwent 25-G TSV for the management of PDR was performed. The main outcome measures were preoperative and postoperative visual acuity and intraocular pressure (IOP), the surgical success rate, and intraoperative and postoperative complications. All cases had a follow-up period of at least 6 months.

Results

The mean logarithm of the minimum angle of resolution (LogMAR) visual acuity was significantly improved from 1.55 preoperatively to 0.72 at the final visit. No intraoperative complications related to the 25-G TSV procedure were recorded. Transient hypotony was recorded in 18 eyes (9%) on postoperative day 1 and 15 eyes (7.5%) on postoperative day 5. Two of these eyes (1%) had choroidal detachment on postoperative day 5. One case showed bacterial endophthalmitis after the second surgery. The single operation and final surgical success rates were 81.5% and 98% respectively.

Conclusion

These outcomes of 25-G TSV showed its safety and efficacy in the management of PDR.

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Authors and Affiliations

  1. The Department of Ophthalmology and Visual Neuroscience, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto-cho, Tokushima, 770-8503, Japan

    Mahmoud Mohamed Farouk, Takeshi Naito, Khulood Mohammed Sayed, Toshihiko Nagasawa & Takashi Katome

  2. The Department of Ophthalmology, Sohag Faculty of Medicine, Sohag University, 82524, Sohag, Egypt

    Mahmoud Mohamed Farouk, Khulood Mohammed Sayed, Gamal Radwan, Ahmad Abdallah & Mohamed Elagouz

Authors
  1. Mahmoud Mohamed Farouk
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  2. Takeshi Naito
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  3. Khulood Mohammed Sayed
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  4. Toshihiko Nagasawa
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  5. Takashi Katome
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  6. Gamal Radwan
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  7. Ahmad Abdallah
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  8. Mohamed Elagouz
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Corresponding author

Correspondence to Takeshi Naito.

Additional information

There is neither a financial relationship nor sponsorship with any organization to be declared. The authors have full control of all primary data, and they agree to allow Graefe’s Archive for Clinical and Experimental Ophthalmology to review their data.

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Farouk, M.M., Naito, T., Sayed, K.M. et al. Outcomes of 25-gauge vitrectomy for proliferative diabetic retinopathy. Graefes Arch Clin Exp Ophthalmol 249, 369–376 (2011). https://doi.org/10.1007/s00417-010-1506-7

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  • DOI: https://doi.org/10.1007/s00417-010-1506-7

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