J Korean Ophthalmol Soc.  2006 Sep;47(9):1427-1434.

The Benefits of Triamcinolone-Assisted Pars Plana Vitrectomy for Proliferative Diabetic Retinopathy

• Yu SI
• Kim HW

Abstract

PURPOSE: To evaluate the advantages and complications of triamcinolone acetonide (TA)-assisted pars plana vitrectomy (PPV) for proliferative diabetic retinopathy (PDR).
METHODS
We retrospectively examined 110 eyes with vitreous hemorrhage or tractional retinal detachment resulting from a PDR after surgery. The TA-assited PPV [TA(+)] consisted of 58 eyes, and the conventional PPV[TA(-)]group consisted of 52 eyes. The improvement in vision, residual vitreous cortex (VC) pattern, and postoperative complications were studied.
RESULTS
The residual VC pattern was divided into 3 groups: the focal type in 34 eyes (58.6%): the diffuse type in 22 eyes (37.9%): and no residual VC, seen in 2 eyes (3.4%). The TA (+) group had a lower incidence of rebleeding (p=0.0149) and of a preretinal membrane (p=0.0138) than the TA (-) group. No apparent persistant ocular hypertension occurred in any eyes.
CONCLUSIONS
Triamcinolone-assisted PPV appears to be potentially useful to remove residual VC and to protect from postoperative complications.

Keyword

Advantages; Complications; Proliferative diabetic retinopathy; Triamcinolone-assisted pars plana vitrectomy

MeSH Terms

Diabetic Retinopathy*
Incidence
Membranes
Ocular Hypertension
Postoperative Complications
Retinal Detachment
Retrospective Studies
Traction
Triamcinolone Acetonide
Vitrectomy*
Vitreous Hemorrhage
Triamcinolone Acetonide