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April 1980

Pars Plana Vitrectomy: Treatment for Tractional Macula Detachment Secondary to Proliferative Diabetic Retinopathy

Author Affiliations

From the Department of Ophthalmology, University of Wisconsin Center for Health Sciences and Medical School, Madison.

Arch Ophthalmol. 1980;98(4):659-664. doi:10.1001/archopht.1980.01020030653001

• Pars plana vitrectomies were performed on 43 eyes with traction macular detachment secondary to proliferative diabetic retinopathy. Anatomic success, as judged by reattachment of the macula, occurred in 28 (65%) eyes. Improved visual acuity occurred in 11 (26%) eyes. Severe complications occurring after vitrectomy included moderate to severe rubeosis iridis diabetica (28%), neovascular glaucoma (16%), vitreous hemorrhage (49%), and phthisis bulbi (14%). Eyes that received scatter photocoagulation therapy at some time prior to macular detachment had a substantially lower incidence of successful postoperative reattachment of the macula than eyes never treated with photocoagulation.

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