Thompson J T, de Bustros S, Michels R G, Rice T A, Glaser B M
Ophthalmology. 1986 Dec;93(12):1571-4. doi: 10.1016/s0161-6420(86)33541-3.
The authors treated 1007 eyes with vitrectomy for complications of proliferative diabetic retinopathy. Indications for surgery were: vitreous hemorrhage, 353 eyes (35%); traction retinal detachment, 360 eyes (36%); combined traction-rhegmatogenous retinal detachment, 172 eyes (17%); and other progressive fibrovascular proliferation 122 eyes (12%). During the study period, the frequency of vitreous hemorrhage as an indication for surgery decreased from 42 to 25%, and other progressive fibrovascular proliferation increased from 5 to 22%. The frequency of traction and traction/rhegmatogenous retinal detachments did not change. The results of surgery varied according to the indication. Seventy-nine percent of eyes with vitreous hemorrhage obtained final vision of 5/200 or better. Similar results were obtained in 64% of eyes with traction detachment, 56% of eyes with rhegmatogenous detachment, and 81% of eyes with progressive fibrovascular proliferation. The percentage of eyes achieving final vision of 20/100 or better are as follows: vitreous hemorrhage, 48%; traction detachment, 27%; rhegmatogenous detachment, 24%; and progressive fibrovascular proliferation, 46%. The success rate improved in each anatomic category during the last 3 years of the study.
作者对1007只眼睛进行了玻璃体切除术，以治疗增殖性糖尿病视网膜病变的并发症。手术指征包括：玻璃体出血，353只眼（35%）；牵拉性视网膜脱离，360只眼（36%）；牵拉性-孔源性视网膜脱离，172只眼（17%）；以及其他进行性纤维血管增生，122只眼（12%）。在研究期间，作为手术指征的玻璃体出血频率从42%降至25%，而其他进行性纤维血管增生从5%增至22%。牵拉性视网膜脱离和牵拉性/孔源性视网膜脱离的频率没有变化。手术结果因指征而异。79%的玻璃体出血眼最终视力达到5/200或更好。牵拉性视网膜脱离眼有64%、孔源性视网膜脱离眼有56%以及进行性纤维血管增生眼有81%获得了类似的结果。最终视力达到20/100或更好的眼的百分比分别为：玻璃体出血，48%；牵拉性视网膜脱离，27%；孔源性视网膜脱离，24%；进行性纤维血管增生，46%。在研究的最后3年中，每个解剖类别中的成功率均有所提高。
