ABSTRACT
Se define la presencia del edema retiniano como un aumento de líquido a nivel histológico que provoca un engrosamiento de la retina. Asimismo, se exponen aspectos fundamentales del edema macular diabético, tales como patofisiología, clasificación, factores de riesgo epidemiológico, diagnóstico y tratamiento
The presence of the retinal edema is defined as an increase of liquid at histological level that causes swelling of the retina. Also, some fundamental aspects of the diabetic macular edema are exposed, such as pathophysiology, classification, epidemiologic risk factors, diagnosis and treatment
Subject(s)
Humans , Male , Female , Retinal Diseases/epidemiology , Macular Edema/physiopathology , Diabetic Retinopathy , Angiography , Risk FactorsABSTRACT
AIM: To identify factors predicting visual improvement post vitrectomy for sequelae of proliferative diabetic retinopathy (PDR).METHODS: This was a retrospective analysis of pars plana vitrectomy indicated for sequelae of PDR from Jan.to Dec.2014 in Hospital Sultanah Bahiyah,Alor Star,Kedah,Malaysia.Data collected included patient demographics,baseline visual acuity (VA) and post-operative logMAR best corrected VA at 1y.Data analysis was performed with IBM SPSS Statistics Version 22.0.RESULTS: A total of 103 patients were included.The mean age was 51.2y.On multivariable analysis,each pre-operative positive deviation of 1 logMAR from a baseline VA of 0 logMAR was associated with a post-operative improvement of 0.859 logMAR (P<0.001).Likewise,an attached macula pre-operatively was associated with a 0.374 (P=0.003) logMAR improvement post vitrectomy.Absence of iris neovascularisation and absence of post-operative complications were associated with a post vitrectomy improvement in logMAR by 1.126 (P=0.001) and 0.377 (P=0.005) respectively.Absence of long-acting intraocular tamponade was associated with a 0.302 (P=0.010) improvement of logMAR post vitrectomy.CONCLUSION: Factors associated with visual improvement after vitrectomy are poor pre-operative VA,an attached macula,absence of iris neovascularisation,absence of post-operative complications and abstaining from use of long-acting intraocular tamponade.A thorough understanding of the factors predicting visual improvement will facilitate decision-making in vitreoretinal surgery.
ABSTRACT
[Objective] To explore and evaluate the mode of integrated intervention in diabetic eye disease by general service team . [ Methods ] Integrated intervention for prevention and treatment of blindness and health education were carried out by general service team through a 2-year prospective co-hort study .The evaluation was made with the indicators such as mastery of health knowledge , ability of dis-ease management , laboratory parameters change , vision improvement and changes of diabetic retinopathy . [ Results] It was found that 8 items on health knowledge , 6 items on ability of disease management , 3 laboratory parameters and condition in the control of visual impairment and diabetic retinopathy were all better in the intervention group than in the control group . [ Conclusion] The effect of integrated intervention mode is significant by general practitioners and specialists participating in chronic disease prevention network .