Journal of the Korean Ophthalmological Society 2006;47(9):1427-1434.
Published online September 30, 2006.
The Benefits of Triamcinolone-Assisted Pars Plana Vitrectomy for Proliferative Diabetic Retinopathy.
Sun Im Yu, Hyun Woong Kim
Department of Ophthalmology, Busan Paik Hospital, College of Medicine, Inje University, Pusan, Korea. maekbak@hanmail.net
증식당뇨망막병증에서 유리체절제술 보조제 트리암시놀론 아세토나이드 효과
유선임,김현웅
Department of Ophthalmology, Busan Paik Hospital, College of Medicine, Inje University, Pusan, Korea.
Correspondence:  Sun Im Yu, M.D.
Abstract
PURPOSE
To evaluate the advantages and complications of triamcinolone acetonide (TA)-assisted pars plana vitrectomy (PPV) for proliferative diabetic retinopathy (PDR). METHODS: We retrospectively examined 110 eyes with vitreous hemorrhage or tractional retinal detachment resulting from a PDR after surgery. The TA-assited PPV [TA(+)] consisted of 58 eyes, and the conventional PPV[TA(-)]group consisted of 52 eyes. The improvement in vision, residual vitreous cortex (VC) pattern, and postoperative complications were studied. RESULTS: The residual VC pattern was divided into 3 groups: the focal type in 34 eyes (58.6%): the diffuse type in 22 eyes (37.9%): and no residual VC, seen in 2 eyes (3.4%). The TA (+) group had a lower incidence of rebleeding (p=0.0149) and of a preretinal membrane (p=0.0138) than the TA (-) group. No apparent persistant ocular hypertension occurred in any eyes. CONCLUSIONS: Triamcinolone-assisted PPV appears to be potentially useful to remove residual VC and to protect from postoperative complications.
Key Words: Advantages;Complications;Proliferative diabetic retinopathy;Triamcinolone-assisted pars plana vitrectomy


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