PROLİFERATİV DİABETİK RETİNOPATİYANIN FƏSADLARI ZAMANI 23 GAUGE PARS PLANA VİTREKTOMİYANIN NƏTİCƏLƏRİ

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SUMMARY

Aim. To analyse indications to vitrectomy in proliferative diabetic retinopathy as well anatomical and functional
results of performed 23 gauge pars plana vitrectomy.

Material and methods
Results of vitrectomy in 241 eyes of 206 patients, who underwent surgery for
complications of proliferative diabetic retinopathy in department of diabetic eye diseases in National Ophthalmology
Centre named after Zarifa Aliyeva in 2009-2012, were analysed. Among patients, females were 116 (56,3%),
males - 90 (43.7%). 35 patients had bilateral surgery.

Results
Mean age of patients at the time of surgery was 56,7±8,83 years. Indications for vitrectomy included:
vitreous hemorrhage - 63 eyes (26,1%), vitreous hemorrhage in combination with tractional retinal detachment -
62 eyes (25,7%), tractional retinal detachment - 71 eye (29,5%), tractional-rhegmatogenous retinal detachment - 5
eyes (2,1%), severe hbrovascular proliferation - 16 eyes (6,6%), vitreomacular traction - 10 eyes (4,1%), asteroid
hyalosis - 7 eyes (2,9%), premacular hemorrhage - 7 eyes (2,9%). 14 eyes were pseudophakic preoperatively, and
in 123 eyes combined phaco, IOL implantation and vitrectomy surgery was performed.
Visual acuity improved in 221 eyes (91,7%) out of 241. Mean LogMAR acuity has changed from 1,99±0.78 to
1,07±0,69 after surgery. Most common complications postoperatively were: recurrent vitreous hemorrhage in 22
eyes (9,1%), rhegmatogenous retinal detachment (12 eyes, 5,0%), secondary glaucoma (27 eyes, 11,2%).

Conclusion
Functional results and frequency of main complications after 23 gauge pars plana vitrectomy
for proliferative diabetic retinopathy are comparable with those of conventional 20 gauge vitrectomy data and
conhrms efficacy and safety of 23 gauge vitrectomy for mentioned disease.