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July 1979

Diabetic Traction Detachment

Author Affiliations

From the Department of Retina Research, Eye Research Institute of Retina Foundation (Drs Cohen and McMeel and Mr Franks) and the Retina Service, Massachusetts Eye and Ear Infirmary (Drs Cohen and McMeel), Boston. Dr Cohen is now with the Ophthalmology Service, Department of the Army, Letterman Army Medical Center, Presidio of San Francisco, Calif.

Arch Ophthalmol. 1979;97(7):1268-1272. doi:10.1001/archopht.1979.01020020010002

• One hundred thirty-six eyes of 124 patients with diabetic traction detachment (TD) were observed for an average of 4.6 years (range, 3.0 to 9.4 years) with no surgical intervention. Visual acuity was maintained or improved in 51 of these eyes; 71 continued to be 20/200 or better. Diabetic TDs remained stable for long periods, those of more severe grade being more stable. At final examination, 60% (81/136) were graded at the same anatomic level (36/136) or an improved level (45/136). Spontaneous reattachment occurred in 20% (27/136); 78% (21/27) of these eyes had small detachments (TD1). The status of the vitreous and the vitreoretinal adhesion determined both the degree of detachment and the incidence of spontaneous reattachment.

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