Comparison of Effi cacy of Tamponade Agents in Decreasing of Postoperative Complications in Vitrectomy Performed for Isolated Vitreous Hemorrhage in Patients with Diabetic Retinopathy

Özet

Purpose: To compare the effi cacy of tamponade agents in decreasing postoperative complications in vitrectomy performed for isolated vitreous hemorrhage in patients with diabetic retinopathy.Materials and Methods: We retrospectively reviewed fi les of patients who underwent pars plana vitrectomy for isolated vitreous hemorrhage. Only patients without tractional detachment who had non-clearing vitreous hemorrhage were included in the study. All patients underwent standard 3-port 23 gauge pars plana vitrectomy. The patients who underwent pars plana vitrectomy were divided into 4 groups according to the intraocular tamponade used: fl uid (group 1), air (group 2), perfl uoropropane gas (group 3) and silicone oil (group 4). We recorded complications (such as re-hemorrhage, fi brovascular proliferation, neovascular glaucoma, retinal detachment) observed with intraocular tamponade in place and within the fi rst 1 month after tamponade effectiveness disappeared.Results: There were 17 patients in group 1, 13 in group 2, 14 in group 3, and 13 in group 4. The age (p = 0.251), gender (p = 0.262) and diabetes duration (p = 0.112) of the patients were similar in all groups. The number of patients experienced complications was 3 in group 1 (17.6%), 3 in group 2 (23.1%), 3 in group 3 (21.4%) and 2 in group 4 (15.4% ). Complication rates were comparable in all groups (p = 0.957).Conclusion: No tamponade is required to reduce postoperative complications when no tear is detected with successful hemostasis during the surgery in vitrectomy performed for isolated vitreous hemorrhage in patients with diabetic retinopathy.