Description

Hesse et al studied factors affecting visual acuity after vitrectomy in patients with proliferative diabetic retinopathy. This can help identify patients who are likely to have poor visual acuity after the surgery so that that they can be properly informed prior to surgery. The authors are from Philipps University in Marburg, Germany.


 

Exclusion criteria:

(1) retinal detachment

(2) preoperative visual acuity of light perception only or no light perception

(3) previous vitrectomies or scleral buckling procedures

(4) follow-up period < 6 months

 

Patients who are predicted to have a postoperative visual acuity < 0.1 at 6 months after surgery:

(1) hand movement and worse, rubeosis present, and visual acuity in opposite eye < 0.5

(2) better than hand movement, 0 to 2 vascular disorders, and visual acuity in opposite eye < 0.2

(3) better than hand movement, 3 vascular disorders, and visual acuity in opposite eye < 0.5

 

Vascular disorders:

(1) macroangiopathy

(2) neuropathy

(3) nephropathy

 

where:

• Visual acuity appears to be expressed as the equivalence distance.

• Hand movement corresponds to a visual acuity of 0.01

• Finger counting corresponds to a visual acuity of 0.03.

• Rubeosis = new formation of blood vessels and connective tissue on the surface of the iris (iridis diabetica).

 


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