증식 당뇨망막병증에서 유리체절제술 후 불량시력의 예후인자

• 영문명: Prognostic Factors on Poor Visual Acuity after Vitrectomy for Proliferative Diabetic Retinopathy
• 발행기관: 조선대학교 의학연구원
• 저자명: 김진만(Jin-Man Kim) 최광주(Gwang-Ju Choi)
• 간행물 정보: 『The Medical Journal of Chosun University』제33권 제1호, 60~66쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.02.28

영문 초록

Purpose: This study investigated the association of the postoperative visual acuity and prognostic factors in vitrectomy for the proliferative diabetic retinopathy. Subject and Methods: Medical records of 178 eyes in 151 patients who had undergone pars plana vitrectomy for the complications of proliferative diabetic retinopathy and followed more than 3 months, were reviewed. Results: Postoperatively, visual acuity was improved in 125 eyes (70.3%), unchanged in 15 eyes (8.4%), and decreased in 38 eyes (21.4%). Preoperative iris neovascularization and intraoperative gas or silicone oil injection proved to be detrimental to visual outcome. Postoperative final visual acuity was not improved in 6 eyes of 8iris neovascularization (75%) (P=0.014) and in 13 eyes of 25 intraoperative gas or silicone oil injection (52%) (P=0.017). But there was no association between postoperative poor visual acuity with visual prognostic factors according to age, preoperative panretinal photocoagulation, preoperative visual acuity, intraoperative lens extraction and presence of diabetic nephropathy (P>0.05). Conclusion: Prognostic factors of poor postoperative visual acuity in vitrectom y for the com plications o f proliferative diabetic retinopathy were preoperative iris neovascularization and intraoperative tam ponade.

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키워드

Gas or silicone oil injection Iris neovascularization Proliferative diabetic retinopathy Visual acuity Vitrectomy