Acta Scientific Ophthalmology (ISSN: 2582-3191)

Research Article Volume 7 Issue 7

Long Term Outcomes of Pars Plana Vitrectomy in Diabetic Eyes with Poor Baseline Visual Acuity

Enas M Khamiss1,2*, Mostafa El Manhaly1,2 and Ahmed AR Souka1,2

1Alexandria Faculty of Medicine, Alexandria, Egypt
2iCare Ophthalmology Center, Alexandria Egypt

*Corresponding Author: Enas M Khamiss, Professor of Ophthalmology, Alexandria Faculty of Medicine, Alexandria, Egypt.

Received: June 17, 2024; Published: July 04, 2024

Abstract

Purpose: To investigate the long-term visual outcomes of patients undergoing pars plana vitrectomy for diabetic retinopathy-related complications and determine factors that predict final visual acuity.

Design: Retrospective study of 37 eyes in 33 diabetic patients who underwent pars plana vitrectomy (PPV) for diabetic retinopathy at a single institution. The study included patients with type 1 or 2 diabetes mellitus who had PPV for persistent vitreous hemorrhage or macula-threatening tractional retinal detachment. Surgeries were performed by the same vitreoretinal surgeon using standard 23-gauge needle vitrectomy, and complete pan-retinal photocoagulation was performed in all cases.

Results: A study analyzed data from 37 eyes over an average 4.84 ± 2.74 years. Most had type 2 diabetes and were treated for macula-threatening tractional retinal detachment or non-clearing vitreous hemorrhage (NCVH). Visual acuity improved in year 1 and remained stable at 5 years. Only 6 eyes needed vitreous washout. Regression models revealed 6-month visual acuity as the sole predictor for final visual acuity in years 2 and 5.

Conclusions: This study adds to existing knowledge about long-term outcomes in diabetic eyes undergoing vitrectomy for NCVH and macula threatening TRD. Most eyes show positive 2- and 5-year visual outcomes, regardless of the initial reason for surgery. 6-month VA appears to be the strongest predictor of final VA. Further research is needed to identify baseline ocular characteristics using objective metrics to better predict surgical benefits.

Keywords: Pars Plana Vitrectomy; Diabetic Retinopathy; Long Term Outcome

References

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Citation

Citation: Enas M Khamiss., et al. “Long Term Outcomes of Pars Plana Vitrectomy in Diabetic Eyes with Poor Baseline Visual Acuity". Acta Scientific Ophthalmology 7.8 (2024): 08-15.

Copyright

Copyright: © 2024 Enas M Khamiss., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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