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Ocular echography in the prognosis of vitreous haemorrhage in type II diabetes mellitus

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Abstract

Purpose: In this study, we have attempted to demonstrate the presence of various echographic parameters which could be associated with a non-spontaneous resorption of vitreous haemorrhage in type II diabetes mellitus and correlate these parameters with clinical outcome. Subjects and methods:We studied 297 eyes of 257 patients with diabetic retinopathy and vitreous haemorrhage without tractional macular retinal detachment ophthalmoscopically and echographically. Of the total eyes studied, a 3-month follow-up visit (including ultrasound) was available in 208 eyes. We retrospectively reviewed the medical records of each patient. Results:The echographic parameters associated with non-resorption ofthe vitreous haemorrhage were: extramacular tractional retinal detachment, fibrovascular membranes and location of the haemorrhage within the subhyaloidal space (in contrast to within the intragel space). In addition, the duration of the vitreous haemorrhage and the presence of panretinal laser photocoagulation at the time of presentation with a vitreous haemorrhage influenced the resolution of the vitreous haemorrhage. We were also able to construct a logarith micfunction that could be used to predict the prognosis of avitreous haemorrhage in type II diabetes mellitus. Conclusions: When employed to evaluate vitreous haemorrhages in non-insulin-dependent diabetes mellitus, ocular ultrasound can provide useful prognostic information regarding the lack of resorption of vitreous haemorrhages in type II diabetics.

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References

  1. Machemer R, Buettner H, Norton EWD, Parel M. Vitrectomy: A pars plana approach. Trans Am Acad Ophthalmol Otolaryngol 1971; 75: 813–20.

    PubMed  CAS  Google Scholar 

  2. Ramsay RC, Knoblock WH, Cantrill HL. Timing of vitrectomy for active proliferative diabetic retinopathy. Ophthalmology 1986; 93: 283–9.

    PubMed  CAS  Google Scholar 

  3. Aaberg TM, Abrams GW. Changing indications and techniques for vitrectomy in management of complications of diabetic retinopathy. Ophthalmology 1987; 94: 775–9.

    PubMed  CAS  Google Scholar 

  4. Diabetic Retinopathy Vitrectomy Study Group. Early vitrectomy for severe vitreous haemorrhage in diabetic retinopathy. Two years results of a randomised trial 2. Arch Ophthalmol 1985; 103: 1644–52.

    Google Scholar 

  5. Diabetic Retinopathy Vitrectomy Study Group. Four years results of a randomised trial: diabetic retinopathy vitrectomy study report 5. Arch Ophthalmol 1990; 108: 958–64.

    Google Scholar 

  6. Mcleod D, Restori M. Ultrasonic examination in severe diabetic eye disease. Br J Ophthalmol 1979; 63: 533–8.

    PubMed  CAS  Google Scholar 

  7. Colemann DJ, Franzen LA. Vitreous surgery: preoperative evaluation and prognostic value of ultrasonic display of vitreous haemorrhage. Arch Ophthalmol 1974; 92: 375–81.

    Google Scholar 

  8. Diabetes Mellitus. Report of a WHO Study Group, Genova, Switzerland, 1985 (WHO Technical report series. No 729).

  9. Blumenkranz M, Byrne S. Standarized echography (Ultrasonography) for detection and characterisation of retinal detachment. Ophthalmology 1982; 89: 821–31.

    PubMed  CAS  Google Scholar 

  10. Jalkh A, Avila MP, El-Markabi H. Immersion A and B-scan Ultrasonography. Its use in preoperative evaluation of diabetic vitreous haemorrhage. Arch Ophthalmol 1984; 102: 686–90.

    PubMed  CAS  Google Scholar 

  11. Fisher YL, Slakter JS, Friedmann RA, Yannuzzi LA. Kinetic ultrasound evaluation of the posterior vitreo-retinal interface. Ophthalmology 1991; 98: 1135–80.

    PubMed  CAS  Google Scholar 

  12. Fleiss JL. Statistical methods of rates and proportions. 2nd ed. New York, John Wiley and Sons, 1981; 212–25.

    Google Scholar 

  13. Ziemianski MC, Mcmeel JW, Franks EP. Natural history of vitreous haemorrhage in diabetic retinopathy. Ophthalmology 1980; 87: 306–12.

    PubMed  CAS  Google Scholar 

  14. Teuscher A, Schnell H, Wilson PWF. Incidence of diabetic retinopathy and relationship to baseline plasma glucose and blood pressure. Diabetes Care 1988; 11: 246–51.

    PubMed  CAS  Google Scholar 

  15. Klein R, Klein BE, Moss SE, David MD, Demets DL, et al. Glycosylated haemoglobin predicts the incidence and progression of diabetic retinopathy. J Am Med Assoc 1988; 260: 2864–71.

    Article  CAS  Google Scholar 

  16. Janka HU, Ziegler AG, Valsania P, Warram JH, Krolewski AS. Impact of blood pressure on diabetic retinopathy. Diabete Metab 1989; 15: 333–7.

    PubMed  CAS  Google Scholar 

  17. Klein R, Davis M, Moss S, Klein BEK, Demets DL. The Wisconsin epidemiologic study of diabetic retinopathy: A comparison of retinopathy in younger and older onset diabetic persons. In: Vranic M, Hollenberg CH, Steiner G (eds) Comparison of type I and II diabetes. Plenum Press, New York.

  18. Cordido M, Fernández-Vigo J, Fandiño J, Sánchez-Salorio M. Natural evolution of massive vitreous haemorrhage in diabetic retinopathy. Retina 1988; 8: 96–101.

    Article  PubMed  CAS  Google Scholar 

  19. O’Hanley GP, Canny CLB. Diabetic dense premacular haemorrhage: a possible indication for prompt vitrectomy. Ophthalmology 1985; 92: 507–11.

    PubMed  CAS  Google Scholar 

  20. Lincoff H, Kreissig I. The conservative management of vitreous haemorrhage. Trans Am Acad Ophthalmol Otolaryngol 1975; 79: 858–64.

    Google Scholar 

  21. Foos RY, Kreiger AE, Forsythe AB, Zakka KA. Posterior vitreous detachment in diabetic subjects. Ophthalmology 1980; 87: 122–8.

    PubMed  CAS  Google Scholar 

  22. Tolentino FI, Lee PF, Schepens CL. Biomicroscopic study of vitreous cavity in diabetic retinopathy. Arch Ophthalmol 1996; 75: 238–46.

    Google Scholar 

  23. Takahashi M, Trempe CL, Maguire KJ, McMeel JW. Vitreoretinal relationship in diabetic retinopathy. A biomicroscopic evalution. Arch Ophthalmol 1981; 99: 241–5.

    PubMed  CAS  Google Scholar 

  24. Akiba J, Arzabe CW, Trempe CL. Posterior vitreous detachment and neovascularitation in diabetic retinopathy. Ophthalmology 1990; 97: 889–91.

    PubMed  CAS  Google Scholar 

  25. Tagawa H, McMeel JW, Trempe CL. Role of the vitreous in diabetic retinopathy: II Active and inactive vitreous change. Ophthalmology 1986; 93: 1188–92.

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Ophthalmology, School of Medicine, Complejo Hospitalario Universitario de Santiago, Spain

    Carmen Capeans, Luis Santos, Rosario Touriño, Francisco Gómez-Ulla & Manuel Sánchez-Salorio

  2. Instituto Galego de Oftalmoloxía, Santiago de Compostela, Spain

    Carmen Capeans & Manuel Sánchez-Salorio

  3. Department of Statistics, School of Medicine, Complejo Hospitalario Universitario de Santiago, Spain

    Jose L. Otero

Authors
  1. Carmen Capeans
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  2. Luis Santos
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  3. Rosario Touriño
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  4. Jose L. Otero
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  5. Francisco Gómez-Ulla
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  6. Manuel Sánchez-Salorio
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Capeans, C., Santos, L., Touriño, R. et al. Ocular echography in the prognosis of vitreous haemorrhage in type II diabetes mellitus. Int Ophthalmol 21, 269–275 (1997). https://doi.org/10.1023/A:1006077518433

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