PLoS ONE (Jan 2019)

Outcomes of vitrectomy for diabetic tractional retinal detachment in Chicago's county health system.

  • Jared T Sokol,
  • Sidney A Schechet,
  • Darin T Rosen,
  • Kevin Ferenchak,
  • Sherif Dawood,
  • Dimitra Skondra

DOI
https://doi.org/10.1371/journal.pone.0220726
Journal volume & issue
Vol. 14, no. 8
p. e0220726

Abstract

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PurposeTo examine outcomes of 23-gauge (23G) pars plana vitrectomy (PPV) for complex diabetic tractional retinal detachment (TRD) in Chicago's Cook County Health and Hospitals System (CCHHS).Materials and methodsThis is a retrospective noncomparative study of diabetic TRD cases that underwent PPV at CCHHS. Primary retinal reattachment rate, visual function, and postoperative complications were analyzed.ResultsSixty nine consecutive cases were included. Primary reattachment and final attachment were achieved in 68/69 eyes (98.6%). Secondary retinal detachment was noted in 1 eye (1.4%). Vitreous hemorrhage requiring repeat PPV developed in 5 eyes (7.2%) and reoperation due to other complications was required in 4/69 eyes (5.8%). Perfluoropropane (C3F8) gas tamponade was used in 91.3% of eyes and silicone oil in 8.7% of eyes. Mean LogMAR visual acuity significantly improved from 1.84 ± 0.61 to 0.93 ± 0.66, (PConclusionsEven in patients with severe and advanced diabetic TRD pathology and unique demographics as seen in CCHHS, modern vitrectomy techniques can provide excellent anatomical and visual outcomes.