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Early Vitrectomy

Early Vitrectomy Abstract To the Editor. —In the August Archives Shea1 reported on his experience with early vitrectomy in proliferative diabetic retinopathy, stating that "The most advantageous time to carry out pars plana vitrectomy in proliferative diabetic retinopathy is when elevated neovascularization (ie, partial vitreous detachment) is present before the occurrence of substantial visual loss or traction detachment." Although these results generally agree with the experience of most vitreous surgeons, Shea does not report the rate of visual loss. Although progression to 20/200 or worse in 24.9% of eyes (all of which had visual acuities of 20/100 or better preoperatively) may be acceptable, it is not acceptable if this visual loss occurs shortly after surgery.Information concerning this dreaded outcome (accelerated decompensation after surgery) would help us evaluate the role of vitrectomy in diabetic patients with useful vision. References 1. Shea M: Early vitrectomy in proliferative diabetic retinopathy . Arch Ophthalmol 1983; 101:1204-1205.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Early Vitrectomy

Abstract

Abstract To the Editor. —In the August Archives Shea1 reported on his experience with early vitrectomy in proliferative diabetic retinopathy, stating that "The most advantageous time to carry out pars plana vitrectomy in proliferative diabetic retinopathy is when elevated neovascularization (ie, partial vitreous detachment) is present before the occurrence of substantial visual loss or traction detachment." Although these results generally agree with the experience of most...
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Publisher
American Medical Association
Copyright
Copyright © 1984 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1984.01040030393003
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —In the August Archives Shea1 reported on his experience with early vitrectomy in proliferative diabetic retinopathy, stating that "The most advantageous time to carry out pars plana vitrectomy in proliferative diabetic retinopathy is when elevated neovascularization (ie, partial vitreous detachment) is present before the occurrence of substantial visual loss or traction detachment." Although these results generally agree with the experience of most vitreous surgeons, Shea does not report the rate of visual loss. Although progression to 20/200 or worse in 24.9% of eyes (all of which had visual acuities of 20/100 or better preoperatively) may be acceptable, it is not acceptable if this visual loss occurs shortly after surgery.Information concerning this dreaded outcome (accelerated decompensation after surgery) would help us evaluate the role of vitrectomy in diabetic patients with useful vision. References 1. Shea M: Early vitrectomy in proliferative diabetic retinopathy . Arch Ophthalmol 1983; 101:1204-1205.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1984

References