Abstract:
PURPOSE:To describe the clinical features and complications of diabetic retinopathy, visual acuity, and number of repeat treatments after panretinal photocoagulation for proliferative diabetic retinopathy in a tertiary care center. METHODS:A cohort study was conducted with data collection from medical records of patients undergoing panretinal photocoagulation between 1985 and 1995 at the Scheie Eye Institute; 297 eyes of 186 patients were eligible for study. RESULTS:The presence of neovascularization of the disk at baseline, an earlier onset of diabetes, and a shorter duration of disease before panretinal photocoagulation were the strongest risk factors for needing an additional panretinal photocoagulation treatment. Sixty-two percent of eyes with poor visual acuity (< or =20/200) at baseline still had poor visual acuity at 1 year, and 76% with good visual acuity (> or =20/40) at baseline maintained good visual acuity at 1 year. Poor vision at baseline was the only risk factor for having poor vision at 1 year. Vitreous hemorrhage was present in 44% of eyes at baseline. New vitreous hemorrhage developed in 37% of eyes during the first year after panretinal photocoagulation. A traction retinal detachment was present in 4% of eyes at baseline and newly developed in 6% of eyes during follow-up. A repeat panretinal photocoagulation treatment was performed in 39% of eyes after initial treatment. A vitrectomy was performed in 10% of eyes from baseline through the 1-year follow-up visit. CONCLUSIONS:The data from this study are useful for counseling patients with respect to likely visual outcome, possibility of major complications from proliferative diabetic retinopathy, and the chance of undergoing additional laser treatment after panretinal photocoagulation.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Kaiser RS,Maguire MG,Grunwald JE,Lieb D,Jani B,Brucker AJ,Maguire AM,Ho AC,Fine SLdoi
10.1016/s0002-9394(99)00322-0subject
Has Abstractpub_date
2000-02-01 00:00:00pages
178-85issue
2eissn
0002-9394issn
1879-1891pii
S0002939499003220journal_volume
129pub_type
杂志文章abstract::We analyzed two consecutive series of cataract extractions in patients with moderate to severe myopia for the incidence of postoperative retinal detachment. One series consisted of 122 intracapsular cataract extractions without surgical loss of vitreous and the other series consisted of 151 extracapsular (phacoemulsif...
journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:1984-01-01 00:00:00
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更新日期:2006-03-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章,随机对照试验
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更新日期:2012-10-01 00:00:00
abstract::A 71-year-old woman had von Willebrand's disease, an inheritable abnormality of platelet activity, and developed diabetic retinal neovascularization. A 59-year-old man had a myeoloproliferative disorder with thrombocythemia but may have had retinal changes before the development of his platelet dysfunction. The occurr...
journal_title:American journal of ophthalmology
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journal_title:American journal of ophthalmology
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:1999-12-01 00:00:00
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更新日期:2016-07-01 00:00:00
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journal_title:American journal of ophthalmology
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更新日期:2007-03-01 00:00:00
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更新日期:2003-10-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2001-12-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:2000-03-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
doi:10.1016/s0002-9394(14)77720-7
更新日期:1978-03-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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pub_type: 临床试验,杂志文章
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更新日期:2010-04-01 00:00:00
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更新日期:1997-12-01 00:00:00
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journal_title:American journal of ophthalmology
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更新日期:1985-03-15 00:00:00
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更新日期:2015-04-01 00:00:00
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:1997-04-01 00:00:00
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更新日期:1994-01-15 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2017-05-01 00:00:00