Combined phacoemulsification, vitrectomy and endolaser photocoagulation in patients with diabetic retinopathy and cataract
JCPSP-Journal of the College of Physicians and Surgeons Pakistan. 2014; 24 (10): 736-739
in English
| IMEMR
| ID: emr-149781
ABSTRACT
To determine the outcomes of early vitrectomy and endolaser photocoagulation effects during phacoemulsification in cataractous eyes with diabetic retinopathy. Descriptive study. Ophthalmology Department Unit-II, DUHS, Civil Hospital, Karachi, and Al-Noor Eye Clinic, Karachi, from February 2009 to December 2010. Consecutive 54 patients with 7 - 15 years duration of type II diabetes with severe non-proliferative diabetic retinopathy [NPDR] and early proliferative diabetic retinopathy [PDR] who had cataract grade I and II underwent vitrectomy, endolaser photocoagulation and phacoemulsification with IOL implantation. Best corrected visual acuity was main outcomes measure assessed till 6 months follow-up. Out of 54 eyes, 32 patients were females and 22 were males. Majority 47 [87%] eyes gained significant [p < 0.001] improvement of best corrected visual acuity of four lines or better while 5 [9.3%] eyes retained stable visual acuity. In only 2 eyes, vision declined to 3/60 or less. Early vitrectomy with phacoemulsification in severe NPDR and early PDR patients, if assisted or augmented with endolaser photocoagulation, maximizes, early visual rehabilitation with less morbidity and may retard progression of retinopathy
Search on Google
Index:
IMEMR (Eastern Mediterranean)
Main subject:
Vitrectomy
/
Cataract
/
Diabetic Retinopathy
/
Light Coagulation
Limits:
Female
/
Humans
/
Male
Language:
English
Journal:
J. Coll. Physicians Surg. Pak.
Year:
2014
Similar
MEDLINE
...
LILACS
LIS