Long-term diabetic vitrectomy results. Report of 10 year follow-up

Ophthalmology. 1985 Apr;92(4):503-6. doi: 10.1016/s0161-6420(85)34015-0.

Abstract

Ten year follow-up examinations were obtained on 72 cases having pars plana vitrectomies for diabetic retinopathy complications from 1970 to 1973. Forty-two percent of the cases maintained 6/60 or better visual acuities through the tenth year. The visual results were quite stable, with 53% of the cases having the same or better visual acuities at ten years compared with six months. Neovascular glaucoma developed in 11 eyes, usually during the first six months, and open-angle glaucoma developed in 16 eyes, usually after the five-year follow-up examination. Both types of glaucoma occurred almost exclusively in aphakic eyes. Cataracts developed in 75% of retained clear lenses. The vitreous cavities remained clear in 67% of the eyes, and the maculas were attached in 65% of the eyes 10 years following vitrectomy. Fundus neovascularization did not recur.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cataract Extraction
  • Diabetic Retinopathy / complications*
  • Eye Diseases / surgery*
  • Follow-Up Studies
  • Glaucoma / etiology
  • Hemorrhage / surgery
  • Humans
  • Iris Diseases / etiology
  • Neovascularization, Pathologic / etiology
  • Postoperative Complications
  • Retinal Detachment / surgery
  • Scleral Buckling
  • Time Factors
  • Visual Acuity
  • Vitrectomy*
  • Vitreous Body