Emmanuel Eric Pazo

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Prognosis value of Chinese Ocular Fundus Diseases Society classification for proliferative diabetic retinopathy on postoperative visual acuity after pars plana vitrectomy in type 2 diabetes

Tiezhu Lin, Cheng Shi, Emmanuel Eric Pazo, Guangzheng Dai, Xianwei Wu, Ling Xu, Lijun Shen

International Journal of Ophthalmology, 2022 · article · doi:10.18240/ijo.2022.10.10 · cited by 8 · Open access (CC BY-NC-ND)

Retina & vascular imaging

Abstract

AIM: To compare the postoperative visual acuity among eyes with proliferative diabetic retinopathy (PDR) of different stages after pars plana vitrectomy (PPV) in type 2 diabetic patients. METHODS: A retrospective study was conducted for PDR eyes undergoing PPV in type 2 diabetic patients. All patients were divided into three groups based on Chinese Ocular Fundus Diseases Society (COFDS) classification for PDR: Group A (primary vitreous hemorrhage), Group B (primary fibrovascular proliferation) and Group C (primary vitreous hemorrhage and/or fibrovascular proliferative combined with retinal detachment). The postoperative visual acuity and the change between postoperative and preoperative visual acuity were compared among three groups. The associated risk factors for postoperative visual acuity were analyzed in the univariate and multiple linear aggression. RESULTS: In total, 195 eyes of 195 patients were collected in this study, including 71 eyes of 71 patients in Group A, 75 eyes of 75 patients in Group B and 49 eyes of 49 patients in Group C. The eyes in Group A got better postoperative best-corrected visual acuity (BCVA) compared to the eyes in Group B and C (0.48±0.48 vs 0.89±0.63, P<0.001; 0.48±0.48 vs 1.04±0.67, P<0.001; respectively). The eyes in Group A got more improvement of BCVA compared to the eyes in Group B and C (1.07±0.70 vs 0.73±0.68, P=0.004; 1.07±0.70 vs 0.77±0.78, P=0.024; respectively). In the multiple linear regression analysis, primary fibro-proliferative type (β=0.194, 95%CI=0.060-0.447, P=0.01), retinal detachment type (β=0.244, 95%CI=0.132-0.579, P=0.02), baseline logMAR BCVA (β=0.192, 95%CI=0.068-0.345, P=0.004), silicone oil tamponade (β=0.272, 95%CI=0.173-0.528, P<0.001) was positively correlated with postoperative logMAR BCVA. Eyes undergoing phacovitrectomy had better postoperative BCVA (β=-0.144, 95%CI=-0.389 to -0.027, P=0.025). CONCLUSION: PDR eyes of primary vitreous hemorrhage type usually have better visual acuity prognosis compared to primary fibrovascular proliferation type and retinal detachment type. COFDS classification for PDR may have a high prognostic value for postoperative visual outcome and surgical management indications.

Keywords: proliferative diabetic retinopathy; type 2 diabetes; pars plana vitrectomy; postoperative visual acuity; vitreous hemorrhage; fibrovascular proliferation; retinal detachment; prognostic factors

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How to cite

Lin, T., Shi, C., Pazo, E. E., Dai, G., Wu, X., Xu, L., Shen, L. (2022). Prognosis value of Chinese Ocular Fundus Diseases Society classification for proliferative diabetic retinopathy on postoperative visual acuity after pars plana vitrectomy in type 2 diabetes. International Journal of Ophthalmology. https://doi.org/10.18240/ijo.2022.10.10

@article{lin2022prognosis,
  title = {{Prognosis value of Chinese Ocular Fundus Diseases Society classification for proliferative diabetic retinopathy on postoperative visual acuity after pars plana vitrectomy in type 2 diabetes}},
  author = {Lin, Tiezhu and Shi, Cheng and Pazo, Emmanuel Eric and Dai, Guangzheng and Wu, Xianwei and Xu, Ling and Shen, Lijun},
  journal = {International Journal of Ophthalmology},
  year = {2022},
  doi = {10.18240/ijo.2022.10.10},
  url = {https://doi.org/10.18240/ijo.2022.10.10},
}

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