Preoperative laser reduces silicone oil use in primary diabetic vitrectomy
| Title: | Preoperative laser reduces silicone oil use in primary diabetic vitrectomy |
|---|---|
| Authors: | Wen-Bin Zheng, Xiao-Hu Ding, Kun-Bei Lai, Ji-Zhu Li, Yu-Qing Wu, Yuan Ma, Zi-Ye Chen, Shi-Da Chen, Sai-Nan Xiao, Bing-Qian Liu, Ying Lin, Tao Li |
| Source: | International Journal of Ophthalmology, Vol 15, Iss 4, Pp 591-597 (2022) |
| Publisher Information: | Press of International Journal of Ophthalmology (IJO PRESS), 2022. |
| Publication Year: | 2022 |
| Collection: | LCC:Ophthalmology |
| Subject Terms: | proliferative diabetic retinopathy, vitrectomy, laser photocoagulation, silicone oil tamponade, predictive factors, Ophthalmology, RE1-994 |
| More Details: | AIM: To identify the predictive factors and laser photocoagulation associated with the use of silicone oil as endotamponade during primary diabetic vitrectomy. METHODS: The medical and surgical records of 690 patients (798 eyes) who underwent primary diabetic vitrectomy at a tertiary eye hospital in China from January 2018 to December 2018 were reviewed in this retrospective cohort study. The patients' baseline characteristics and preoperative treatments were recorded. The binary Logistic regression model was used to evaluate the risk factors for the use of silicone oil as endotamponade agent during primary vitrectomy for proliferative diabetic retinopathy (PDR)-related complications. RESULTS: Among 690 patients with mean age of 52.1±10.5y (range: 18-85y), 299/690 (43.3%) were female. The 31.6% of the eyes received preoperative laser treatment, and 72.4% of the eyes received preoperative anti-VEGF adjuvant therapy. Non-clearing vitreous haemorrhage (VH) alone or combined with retinal detachment was the main surgical indication (89.5%) for primary vitrectomy. Silicone oil was used as endotamponade in 313 (39.2%) eyes. Lack of preoperative laser treatment [odds ratio (OR) 0.66, 95% confidence interval (CI): 0.48-0.92; P=0.015] and older age (OR 0.96, 95%CI: 0.95-0.98; P |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 2222-3959 2227-4898 |
| Relation: | http://ies.ijo.cn/en_publish/2022/4/20220411.pdf; https://doaj.org/toc/2222-3959; https://doaj.org/toc/2227-4898 |
| DOI: | 10.18240/ijo.2022.04.11 |
| Access URL: | https://doaj.org/article/41008cb1197f4a47a73986aa29a0a25a |
| Accession Number: | edsdoj.41008cb1197f4a47a73986aa29a0a25a |
| Database: | Directory of Open Access Journals |
| ISSN: | 22223959 22274898 |
|---|---|
| DOI: | 10.18240/ijo.2022.04.11 |
| Published in: | International Journal of Ophthalmology |
| Language: | English |