Clinical Analysis of the Diabetic Vitrectomy According to Preoperative Dialysis. |
Jin Woo Park, Seung Song, Man Seong Seo |
1Department of Ophthalmology, Chonnam National University Medical School & Hospital, Korea. msseo@chonnam.ac.kr 2Chonnam National University Research Institute for Medical Sciences Kwangju, Korea. |
투석 환자에서 시행한 당뇨유리체절제술의 임상분석 |
박진우 ( Jin Woo Park ) , 송승 ( Seung Song ) , 서만성 ( Man Seong Seo ) |
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Abstract |
To determine the difference of the results induced by preoperative dialysis, we analyzed the medical records of the patients who had undergone pars plana vitrectomy (PPV) for the treatment of proliferative diabetic retinopathy (PDR). Of 65 patients (74 eyes) in total, there was the functional success (FS: final visual acuity> or =0.04) in 58 (78.4%), visual improvement of 2 lines or more (VI) in 55 (74.3%), central visual efficiency of 20% or more (VE) in 42 (56.8%), and anatomical success (AS) in 62 eyes (83.8%). The dialysis group with 16 patients(19 eyes) showed FS in 12 (63.2%), VI in 11 (57.9%), VE in 10 (52.6%), and AS in 14 eyes (73.7%). The non-dialysis group with 49 patients (55 eyes) showed FS in 46 (83.6%), VI in 44 (80.0%), VE in 32 (58.2%) and AS in 48 eyes (87.0%). There was more or less difference between the dialysis and non-dialysis group in AS, VI, VE and AS, but it was not significant on the statistics. Accordingly, there may not be significant effect of dialysis on the result of PPV for the treatment of PDR. |
Key Words:
Diabetic retinopathy;Dialysis;Pars plana vitrectomy |
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