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Article
April 1987

Results and Prognostic Factors in Vitrectomy for Diabetic Traction-Rhegmatogenous Retinal Detachment

Author Affiliations

From the Department of Ophthalmology and Visual Science, Yale University, New Haven, Conn (Dr Thompson); Wilmer Ophthalmological Institute, The Johns Hopkins University School of Medicine, Baltimore (Drs de Bustros and Michels); and Department of Ophthalmology, Case Western Reserve University School of Medicine, Cleveland (Dr Rice).

Arch Ophthalmol. 1987;105(4):503-507. doi:10.1001/archopht.1987.01060040073036
Abstract

• The results of pars plana vitrectomy for diabetic traction-rhegmatogenous retinal detachment were analyzed in 172 eyes, and the factors associated with a final visual acuity of 5/200 or better were identified. Forty-eight percent of eyes had improved vision on final examination. The proportion of eyes with a final visual acuity of 20/100 or better and 5/200 or better remained virtually the same during the ten-year study interval. Preoperative factors associated with a visual acuity of 5/200 or better were (1) a preoperative visual acuity of 5/200 or better, (2) the absence of iris neovascularization, and (3) the absence of retinal detachment involving the macula. The intraoperative factor associated with a final visual acuity of 5/200 or better was the absence of iatrogenic retinal breaks.

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