Prognostic Indicators of Success and Failure in Vitrectomy for Diabetec Retinopathy

John T. Thompson; Cheryl L. Auer; Serge De Bustros; Ronald G. Michels; Thomas A. Rice; Bert M. Glaser

doi:10.1016/S0161-6420(86)33741-2

Prognostic Indicators of Success and Failure in Vitrectomy for Diabetec Retinopathy

John T. Thompson, Cheryl L. Auer, Serge De Bustros, Ronald G. Michels, Thomas A. Rice, Bert M. Glaser

School of Medicine

Research output: Contribution to journal › Article › peer-review

61 Scopus citations

Abstract

Results of pars plana vitrectomy for complications of diabetic retinopathy were analyzed by logistic regression analysis in 1007 eyes to determine the preoperative and intraoperative factors associated with visual success or failure. Preoperative factors associated with a poorer visual outcome (final visual acuity less than 5/200) include preoperative iris neovascularization, cataract, visual acuity less than 5/200 and traction or rhegmatogenous retinal detachment. Intraoperative factors associated with a greater chance of a poor visual result include use of intravitreal gas or air and creation of an iatrogenic retinal break or detachment. The presence of any one of these factors resulted in a 1.5 to 3.9 times greater risk of a poor final visual result. The regression coefficients may be combined to predict the likelihood of obtaining final acuity greater than or equal to 5/200 in eyes with various preoperative characteristics.

Original language	English (US)
Pages (from-to)	290-295
Number of pages	6
Journal	Ophthalmology
Volume	93
Issue number	3
DOIs	https://doi.org/10.1016/S0161-6420(86)33741-2
State	Published - Jan 1 1986

Keywords

diabetes
pars plana vitrectomy
regression analysis
retinal detachment
rhegmatogenous retinal detachment
traction retinal detachment
vitreous hemorrhage

ASJC Scopus subject areas

Ophthalmology

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10.1016/S0161-6420(86)33741-2

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title = "Prognostic Indicators of Success and Failure in Vitrectomy for Diabetec Retinopathy",

abstract = "Results of pars plana vitrectomy for complications of diabetic retinopathy were analyzed by logistic regression analysis in 1007 eyes to determine the preoperative and intraoperative factors associated with visual success or failure. Preoperative factors associated with a poorer visual outcome (final visual acuity less than 5/200) include preoperative iris neovascularization, cataract, visual acuity less than 5/200 and traction or rhegmatogenous retinal detachment. Intraoperative factors associated with a greater chance of a poor visual result include use of intravitreal gas or air and creation of an iatrogenic retinal break or detachment. The presence of any one of these factors resulted in a 1.5 to 3.9 times greater risk of a poor final visual result. The regression coefficients may be combined to predict the likelihood of obtaining final acuity greater than or equal to 5/200 in eyes with various preoperative characteristics.",

keywords = "diabetes, pars plana vitrectomy, regression analysis, retinal detachment, rhegmatogenous retinal detachment, traction retinal detachment, vitreous hemorrhage",

author = "Thompson, {John T.} and Auer, {Cheryl L.} and {De Bustros}, Serge and Michels, {Ronald G.} and Rice, {Thomas A.} and Glaser, {Bert M.}",

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AU - Thompson, John T.

AU - Auer, Cheryl L.

AU - De Bustros, Serge

AU - Michels, Ronald G.

AU - Rice, Thomas A.

AU - Glaser, Bert M.

PY - 1986/1/1

Y1 - 1986/1/1

N2 - Results of pars plana vitrectomy for complications of diabetic retinopathy were analyzed by logistic regression analysis in 1007 eyes to determine the preoperative and intraoperative factors associated with visual success or failure. Preoperative factors associated with a poorer visual outcome (final visual acuity less than 5/200) include preoperative iris neovascularization, cataract, visual acuity less than 5/200 and traction or rhegmatogenous retinal detachment. Intraoperative factors associated with a greater chance of a poor visual result include use of intravitreal gas or air and creation of an iatrogenic retinal break or detachment. The presence of any one of these factors resulted in a 1.5 to 3.9 times greater risk of a poor final visual result. The regression coefficients may be combined to predict the likelihood of obtaining final acuity greater than or equal to 5/200 in eyes with various preoperative characteristics.

AB - Results of pars plana vitrectomy for complications of diabetic retinopathy were analyzed by logistic regression analysis in 1007 eyes to determine the preoperative and intraoperative factors associated with visual success or failure. Preoperative factors associated with a poorer visual outcome (final visual acuity less than 5/200) include preoperative iris neovascularization, cataract, visual acuity less than 5/200 and traction or rhegmatogenous retinal detachment. Intraoperative factors associated with a greater chance of a poor visual result include use of intravitreal gas or air and creation of an iatrogenic retinal break or detachment. The presence of any one of these factors resulted in a 1.5 to 3.9 times greater risk of a poor final visual result. The regression coefficients may be combined to predict the likelihood of obtaining final acuity greater than or equal to 5/200 in eyes with various preoperative characteristics.

KW - diabetes

KW - pars plana vitrectomy

KW - regression analysis

KW - retinal detachment

KW - rhegmatogenous retinal detachment

KW - traction retinal detachment

KW - vitreous hemorrhage

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Prognostic Indicators of Success and Failure in Vitrectomy for Diabetec Retinopathy

Abstract

Keywords

ASJC Scopus subject areas

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