SYSTEMIC RISK FACTORS IN BILATERAL PROLIFERATIVE DIABETIC RETINOPATHY REQUIRING VITRECTOMY
SYSTEMIC RISK FACTORS IN BILATERAL PROLIFERATIVE DIABETIC RETINOPATHY REQUIRING VITRECTOMY
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DOI：
10.1097/iae.0000000000000886
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发表时间：
2016-07-01
影响因子：
3.3
通讯作者：
Yoshida, Akitoshi
中科院分区：
文献类型：
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作者：
Song, Young-Seok;Nagaoka, Taiji;Yoshida, Akitoshi
目的：增殖性糖尿病视网膜病变（PDR）玻璃体切除术后的视力结果往往很差。双侧玻璃体切除术与PDR患者的视力预后不良尤其相关。作者调查了PDR的全身危险因素，需要双侧玻璃体切除术与单侧玻璃体切除术相比。方法：作者回顾性分析了86例连续2型糖尿病PDR患者接受玻璃体切除术。将这些患者分为2组：1年内双侧玻璃体切除术（n = 25）和单侧玻璃体切除术（n = 61）。作者比较了全身危险因素：年龄、性别、糖尿病病程、血红蛋白A1c、体重指数、估计肾小球滤过率、尿白蛋白、高血压、血脂异常、缺血性心脏病史、动脉硬化闭塞症和吸烟。结果：双侧玻璃体切除术组严重肾功能不全的病例明显多于单侧玻璃体切除术组（估计肾小球滤过率
Purpose: The visual outcome after vitrectomy for proliferative diabetic retinopathy (PDR) is often poor. Bilateral vitrectomy has been especially associated with a poor visual prognosis in patients with PDR. The authors investigated the systemic risk factors for PDR requiring bilateral vitrectomy compared with unilateral vitrectomy.Methods: The authors retrospectively reviewed 86 consecutive patients with Type 2 diabetes mellitus with PDR who underwent vitrectomy. These patients were divided into 2 groups: bilateral vitrectomy within 1 year (n = 25) and unilateral vitrectomy (n = 61). The authors compared the systemic risk factors: age, sex, duration of diabetes, hemoglobin A1c, body mass index, estimated glomerular filtration rate, uric albumin, hypertension, dyslipidemia, history of ischemic heart disease, arteriosclerosis obliterans, and smoking.Results: There were significantly more cases with severe renal dysfunction in the bilateral vitrectomy group compared with the unilateral one (estimated glomerular filtration rate