Abstract
Objective:To evaluate the visual outcomes of 27-gauge transconjunctival sutureless vitrectomy surgery and its complications in patients with diabetic vitreous hemorrhage.Methods:A quasi-experimental study was conducted where eighty seven eyes of 87 uncontrolled type II diabetes mellitus patients presenting with diabetic vitreous hemorrhage were selected to undergo 27-gauge transconjunctival sutureless micro-incision vitrectomy surgery. Main outcome measured was best corrected visual acuity (BCVA). Post-operative complications were also screened for at each visit. The follow ups were at post-operative day one, one month, three months and six months respectively.Results:Out of 87 patients, 52 (59.8%) were males and 35 (40.2%) were females. The mean age of the patients was 52.32 ± 6.78 years (95% CI: 53.13 - 55.57). For most of the patients, the BCVA improved progressively with each subsequent follow up visit. Pre-operative BCVA was 1.01 ± 0.206 logMar, compared to BCVA at final follow up of 0.44 ± 0.231 (p-value < 0.001). Six (6.9%) patients developed recurrent vitreous hemorrhage during the study period, four (4.6%) developed cataract, one (1.1%) had increased intraocular pressure and sub conjunctival hemorrhage was present in two (2.3%).Conclusion:27-gauge micro-incision vitrectomy surgery is an effective sutureless surgery with favorable outcomes, in terms of vision, in patients with diabetic vitreous hemorrhage. The associated complications are few which can be easily managed.
Highlights
Diabetes mellitus is one of the most common medical problem in today’s world that causes a wide range of systemic complications
Pre-operative best corrected visual acuity (BCVA) was 1.01 ± 0.206 logMAR, which subsequently progressed to 0.44 ± 0.231 at the last follow-up (p-value < 0.001)
Comparison was done between pre-operative BCVA and the BCVA on post-operative day one, one month’s and six months’ follow-up
Summary
Diabetes mellitus is one of the most common medical problem in today’s world that causes a wide range of systemic complications. This has a substantial effect on the patient’s functioning in the society as the disease occurs in an individual’s most productive years.[1] Patients with diabetes often develops ophthalmic complications such as cataract, glaucoma and distal neuropathies. Diabetic retinopathy is the most common as well as the most blinding complication.[2]. In Unites States, diabetic retinopathy is the prime reason of blindness in people aged over 25 years of age. In Pakistan, the prevalence of PDR is reported around 2.65-5% in various studies.[4,5] Among the major causes of visual impairment in patients of PDR, vitreous hemorrhage (VH) is the foremost cause of sudden visual loss
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