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Post-vitrectomy delayed retinal breaks in proliferative diabetic retinopathy.
Ramesh Venkatesh1, Yash Parmar2, Rubble Mangla2
1Department of Retina and Vitreous, Narayana Nethralaya, #121/C, 1st R Block, Chord Road, Rajaji Nagar, Bengaluru, 560010, Karnataka, India. vramesh80@yahoo.com.
International Journal of Retina and Vitreous
|February 2, 2023
Summary
New retinal breaks after vitrectomy for proliferative diabetic retinopathy (PDR) are uncommon, occurring in 7% of cases. Careful pre- and post-operative evaluations are key to managing these delayed breaks.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Diabetic Retinopathy
Background:
- Proliferative diabetic retinopathy (PDR) often requires vitrectomy.
- Secondary retinal breaks can complicate post-vitrectomy management.
Purpose of the Study:
- To report the incidence and characteristics of new secondary retinal breaks after vitrectomy for PDR.
Main Methods:
- Retrospective case series of patients undergoing vitrectomy for PDR between January 2018 and December 2021.
- Analysis of patient demographics, surgical indications, and outcomes related to secondary retinal breaks.
Main Results:
- New retinal breaks occurred in 7% of eyes (10/148).
- Tractional fibrovascular proliferation was noted in 8 eyes; mean time to break development was 6.4 months.
- No retinal detachment was observed; visual acuity ranged from 6/6 to 6/60.
Conclusions:
- Delayed post-vitrectomy retinal breaks in PDR are infrequent.
- Preoperative assessment, intraoperative membrane dissection, and postoperative monitoring are crucial.
- Observation may be a suitable management approach for these breaks.
