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Alejandro Jose Hernandez Reyes, Salvador Lopez-Rubio, José Luis Rodriguez-Loaiza, Federico Graue; Prognosis Factors for Visual Outcome and Anatomic Success on Tractional Retinal Detachment Surgery. Invest. Ophthalmol. Vis. Sci. 2017;58(8):4156.
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© ARVO (1962-2015); The Authors (2016-present)
To identify the pre, intra and post surgical factors associated with better visual outcomes and anatomic success in patients with tractional retinal detachment treated with vitrectomy in the retina service of an ophthalmologic center in Mexico.
A retrospective, observational study of 85 patients (88 eyes) with TRD that underwent vitrectomy. Demographic, ophthalmic and vascular related complications of diabetes were analyzed. Our main outcomes: improve of at least 1 line in best correct visual acuity and anatomic success defined as macula attached at the first and third month. Univariable analysis was performed with Fisher exact test for categorical and U Mann Whitney test for quantitative variables.
Results at 1 and 3 months showed that, patients without macular involvement (p=0.013), vitreous hemorrhage (p<0.001), absence of retinotomies (p=0.05) and absence of post-surgical complications (p=0.026) were associated with best visual and anatomic outcome. Higher level of blood creatinine (p=0.01), higher number of retinotomies (p=0.012) and long surgery time (p<0.001) were related with worst visual outcome and less anatomical success.
The main factors related with worst visual outcome and worst anatomic success were: higher creatinine levels, long and complex surgeries, macular involvement and postoperative complications, reflecting worst microvascular retinal damage and friable and isquemic retinas with poor response to treatment.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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