Posters

Outcomes of segmentation and peeling in tractional retinal detachment in advanced diabetic eye disease

Poster Details

First Author: H.Khaqan PAKISTAN

Co Author(s):    H. Kiyani   F. Jameel   A. Haider                       

Abstract Details



Purpose:

To evaluate surgical and visual outcomes in cases of tractional retinal detachment in advanced diabetic eye disease

Setting:

Study was conducted at Department of Ophtalmology, Post Graduate Medical Institute/Lahore General Hospital, Lahore from July 2006 to June 2016

Methods:

A total of 1020 eyes having tractional retinal detachment in advanced diabetic eye disease were included in the study. Eyes associated with rhegmetagenous retinal detachment were excluded from the study. Segmentation was done with 23 gauge vitrectomy cutter and vertical cutting scissor. Peeling of ERM and ILM was done with 23 gauge ILM forcep after staining with triamcinolone and or brilliant blue green dye

Results:

In 892 (87.4%) eyes tractional retinal detachment was treated by segmentation and peeling and retina was flat after surgery with balance salt solution inside vitreous cavity at the end of surgery. In 128 (12.4%) eyes Iatrogenic breaks were formed during segementation and peeling at the posterior pole and retina were completely flat at the end of surgery with air inside the vitreous cavity in 62 eyes, C3F8 in 44 eyes and silicone oil of 1000cs in 22 eyes. In 841 (82.4%) eyes BCVA improved >_ 2 ETDRS lines from baseline, while in 139 (13.6%) eyes BCVA improved by >_1ETDRS line, in 30 (2.94%) eyes no vision improvement was observed and in 10 (0.98%) eyes vision decreased mean one ETDRS line

Conclusions:

Segmentation and peeling play significant role in anatomical and visual restoration in cases of tractional retinal detachment in advanced diabetic eye disease

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