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Vitrectomy for diabetic traction retinal detachment using the multiport illumination system
Robert L Steinmetz1, W Sanderson Grizzard, Mark E Hammer
1Southern Vitreoretinal Associates, Tallahassee, Florida 32308, USA.
Objective:
To examine the visual and anatomic results of bimanual vitrectomy surgery with the multiport illumination system (MIS) in eyes with advanced diabetic traction retinal detachment.
Design:
Retrospective, noncomparative interventional case series.
Participants:
Sixty-seven consecutive eyes in 62 patients having vitrectomy with the MIS.
Methods:
During surgery, the vitreous, the posterior hyaloid membrane, and fibrovascular proliferative tissue were removed by using bimanual dissection made possible by the MIS.
Main Outcome Measures:
Retinal reattachment rate, visual function, and postoperative complications were compared with previously published series of vitrectomy for diabetic traction retinal detachment.
Results:
With a minimum of 6 months of follow-up, complete retinal reattachment was achieved in 62 eyes (93%), and macular attachment was achieved in all 67 eyes. Vision was stabilized or improved in 51 eyes (72%), and 5/200 vision was achieved in 47 eyes (70%). No unique complications, such as incision-related retinal tears, occurred.
Conclusion:
MIS allows bimanual surgery during vitrectomy for diabetic traction retinal detachment, with good visual and anatomic results.