Dr. Kabita Bora, Dr. Abdul Latif, Dr. Vajinder Singh
Abstract: Introduction: Diabetic Retinopathy Vitrectomy Study (DRVS) has shown a clear benefit from earlier surgery in patients with PDR presenting with vitreous hemorrhage.Since the publication of the DRVS report, there is a trend toward early vitrectomy for diabetic vitreous hemorrhage. Purpose: To study the visual outcome of vitreous hemorrhage in diabetic patients with PDR who have undergone early surgical intervention in form of vitrectomy with endolaser. Methods: In this prospective, non-comparative, interventional, hospital-based study 10 eyes of 10 diabetic patients with PDR with vitreous hemorrhage were operated within 3 months of onset of hemorrhage, between March 2018 - October 2018. They underwent early vitrectomy in the form of 23G pars plana vitrectomy with argon green endo laser. Patients were followed up for 6 months. Visual outcome at the end of 6 months, depending upon macular status visual improvement was assessed with snellen's chart. Results: Number of patients with 6/60 vision were -3 , with 6/36 vision was-1, 6/18 were 1 and with 6/12 was 1 and 6/9 were 3 at the end of 6 months. Conclusion: With early intervention good vision can be achieved in PDR patients with vitreous hemorrhage.
Keywords: Diabetes, diabetic retinopathy, vitreous haemorrhage, pars plana vitrectomy