Surgical outcomes of vitrectomy surgery for proliferative diabetic retinopathy in patients with abnormal renal function
Purpose To analyse the influence of renal function on the outcomes of vitrectomy for tractional-related complications in cases of severe proliferative diabetic retinopathy (PDR). Methods Retrospective consecutive case series of 109 eyes that underwent vitreoretinal interventions for traction-related...
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| creator | Larrañaga-Fragoso, P. Laviers, H. McKechnie, C. Zambarakji, H. |
| description | Purpose
To analyse the influence of renal function on the outcomes of vitrectomy for tractional-related complications in cases of severe proliferative diabetic retinopathy (PDR).
Methods
Retrospective consecutive case series of 109 eyes that underwent vitreoretinal interventions for traction-related complications of severe PDR from 2014 to 2017. Data collected included patient demographics, best-corrected visual acuity (BCVA), surgical complications, and systemic markers including HbA1c and estimated glomerular filtration rate (eGFR). Renal function categories were defined as low (eGFR 60 mL/min/1.73m
2
).
Results
A total of 109 eyes (56% (
n
= 61) female) were included in the study. Overall, mean baseline BCVA improved from 1.33 logMAR to 0.91 logMAR (
p
|
| doi_str_mv | 10.1007/s00417-019-04532-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2317593085</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2317593085</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-e427a5127189fdfe5c4ec6aa06a08111c72c6d5d043c8e06694584edfc71f67f3</originalsourceid><addsrcrecordid>eNp9kU1vFDEMhiNERZfCH-CAInHpZUo-JpPsEVVQkCr1QJF6i7IZh6aaSZYk02r_fb1soRIHLrYlP37j-CXkHWdnnDH9sTLWc90xvu5Yr6To9Auy4r1UnWbi5iVZMS14Z6S4OSava71jyEvFX5FjybUyQpkVefi-lJ_Ru4nmpfk8Q6U50PvYCviW5x2t2IeyoyEXui15igGKa_Ee6BjdBlr0tGBMeeva7Y7GRLGIkFqlD7HdUrdJucyoXyBhDEvyLeb0hhwFN1V4-5RPyI8vn6_Pv3aXVxffzj9ddl5q1TrohXaKC83NOowBlO_BD86xwTHDOfda-GFUI37MG2DDsO6V6WEMXvMw6CBPyOlBF3f_tUBtdo7VwzS5BHmpVuxPsZbMKEQ__IPe5aXg0nsKMSN7yZESB8qXXGuBYLclzq7sLGd2b4s92GLRFvvbFqtx6P2T9LKZYfw78scHBOQBqNhKePDnt_8j-whbI5qq</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2331783431</pqid></control><display><type>article</type><title>Surgical outcomes of vitrectomy surgery for proliferative diabetic retinopathy in patients with abnormal renal function</title><source>SpringerNature Journals</source><creator>Larrañaga-Fragoso, P. ; Laviers, H. ; McKechnie, C. ; Zambarakji, H.</creator><creatorcontrib>Larrañaga-Fragoso, P. ; Laviers, H. ; McKechnie, C. ; Zambarakji, H.</creatorcontrib><description>Purpose
To analyse the influence of renal function on the outcomes of vitrectomy for tractional-related complications in cases of severe proliferative diabetic retinopathy (PDR).
Methods
Retrospective consecutive case series of 109 eyes that underwent vitreoretinal interventions for traction-related complications of severe PDR from 2014 to 2017. Data collected included patient demographics, best-corrected visual acuity (BCVA), surgical complications, and systemic markers including HbA1c and estimated glomerular filtration rate (eGFR). Renal function categories were defined as low (eGFR < 30 mL/min/1.73 m
2
), medium (eGFR 30–60 mL/min/1.73 m
2
), and normal (eGFR > 60 mL/min/1.73m
2
).
Results
A total of 109 eyes (56% (
n
= 61) female) were included in the study. Overall, mean baseline BCVA improved from 1.33 logMAR to 0.91 logMAR (
p
< 0.001) postoperatively. Patients with low eGFR had significantly worse baseline BCVA (
p
= 0.039) and demonstrated greater improvement in mean BCVA (
p
= 0.059). Multivariate regression analysis indicated that seven predictors explained 65.5% of the variance (
R
2
= 0.655,
F
(11,97) = 16.7,
p
< 0.01).
Conclusions
Reduced renal function does not adversely affect visual outcomes of vitrectomy for traction-related complications of PDR.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-019-04532-7</identifier><identifier>PMID: 31758258</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Acuity ; Demography ; Diabetes ; Diabetes mellitus ; Diabetic retinopathy ; Epidermal growth factor receptors ; Glomerular filtration rate ; Medicine ; Medicine & Public Health ; Ophthalmology ; Renal function ; Retinal Disorders ; Retinopathy ; Surgery ; Surgical outcomes</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2020, Vol.258 (1), p.63-70</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Graefe's Archive for Clinical and Experimental Ophthalmology is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-e427a5127189fdfe5c4ec6aa06a08111c72c6d5d043c8e06694584edfc71f67f3</citedby><cites>FETCH-LOGICAL-c375t-e427a5127189fdfe5c4ec6aa06a08111c72c6d5d043c8e06694584edfc71f67f3</cites><orcidid>0000-0002-9478-0890</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-019-04532-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-019-04532-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31758258$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Larrañaga-Fragoso, P.</creatorcontrib><creatorcontrib>Laviers, H.</creatorcontrib><creatorcontrib>McKechnie, C.</creatorcontrib><creatorcontrib>Zambarakji, H.</creatorcontrib><title>Surgical outcomes of vitrectomy surgery for proliferative diabetic retinopathy in patients with abnormal renal function</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Purpose
To analyse the influence of renal function on the outcomes of vitrectomy for tractional-related complications in cases of severe proliferative diabetic retinopathy (PDR).
Methods
Retrospective consecutive case series of 109 eyes that underwent vitreoretinal interventions for traction-related complications of severe PDR from 2014 to 2017. Data collected included patient demographics, best-corrected visual acuity (BCVA), surgical complications, and systemic markers including HbA1c and estimated glomerular filtration rate (eGFR). Renal function categories were defined as low (eGFR < 30 mL/min/1.73 m
2
), medium (eGFR 30–60 mL/min/1.73 m
2
), and normal (eGFR > 60 mL/min/1.73m
2
).
Results
A total of 109 eyes (56% (
n
= 61) female) were included in the study. Overall, mean baseline BCVA improved from 1.33 logMAR to 0.91 logMAR (
p
< 0.001) postoperatively. Patients with low eGFR had significantly worse baseline BCVA (
p
= 0.039) and demonstrated greater improvement in mean BCVA (
p
= 0.059). Multivariate regression analysis indicated that seven predictors explained 65.5% of the variance (
R
2
= 0.655,
F
(11,97) = 16.7,
p
< 0.01).
Conclusions
Reduced renal function does not adversely affect visual outcomes of vitrectomy for traction-related complications of PDR.</description><subject>Acuity</subject><subject>Demography</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetic retinopathy</subject><subject>Epidermal growth factor receptors</subject><subject>Glomerular filtration rate</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Ophthalmology</subject><subject>Renal function</subject><subject>Retinal Disorders</subject><subject>Retinopathy</subject><subject>Surgery</subject><subject>Surgical outcomes</subject><issn>0721-832X</issn><issn>1435-702X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1vFDEMhiNERZfCH-CAInHpZUo-JpPsEVVQkCr1QJF6i7IZh6aaSZYk02r_fb1soRIHLrYlP37j-CXkHWdnnDH9sTLWc90xvu5Yr6To9Auy4r1UnWbi5iVZMS14Z6S4OSava71jyEvFX5FjybUyQpkVefi-lJ_Ru4nmpfk8Q6U50PvYCviW5x2t2IeyoyEXui15igGKa_Ee6BjdBlr0tGBMeeva7Y7GRLGIkFqlD7HdUrdJucyoXyBhDEvyLeb0hhwFN1V4-5RPyI8vn6_Pv3aXVxffzj9ddl5q1TrohXaKC83NOowBlO_BD86xwTHDOfda-GFUI37MG2DDsO6V6WEMXvMw6CBPyOlBF3f_tUBtdo7VwzS5BHmpVuxPsZbMKEQ__IPe5aXg0nsKMSN7yZESB8qXXGuBYLclzq7sLGd2b4s92GLRFvvbFqtx6P2T9LKZYfw78scHBOQBqNhKePDnt_8j-whbI5qq</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Larrañaga-Fragoso, P.</creator><creator>Laviers, H.</creator><creator>McKechnie, C.</creator><creator>Zambarakji, H.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9478-0890</orcidid></search><sort><creationdate>2020</creationdate><title>Surgical outcomes of vitrectomy surgery for proliferative diabetic retinopathy in patients with abnormal renal function</title><author>Larrañaga-Fragoso, P. ; Laviers, H. ; McKechnie, C. ; Zambarakji, H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-e427a5127189fdfe5c4ec6aa06a08111c72c6d5d043c8e06694584edfc71f67f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Acuity</topic><topic>Demography</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetic retinopathy</topic><topic>Epidermal growth factor receptors</topic><topic>Glomerular filtration rate</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Ophthalmology</topic><topic>Renal function</topic><topic>Retinal Disorders</topic><topic>Retinopathy</topic><topic>Surgery</topic><topic>Surgical outcomes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Larrañaga-Fragoso, P.</creatorcontrib><creatorcontrib>Laviers, H.</creatorcontrib><creatorcontrib>McKechnie, C.</creatorcontrib><creatorcontrib>Zambarakji, H.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Larrañaga-Fragoso, P.</au><au>Laviers, H.</au><au>McKechnie, C.</au><au>Zambarakji, H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Surgical outcomes of vitrectomy surgery for proliferative diabetic retinopathy in patients with abnormal renal function</atitle><jtitle>Graefe's archive for clinical and experimental ophthalmology</jtitle><stitle>Graefes Arch Clin Exp Ophthalmol</stitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><date>2020</date><risdate>2020</risdate><volume>258</volume><issue>1</issue><spage>63</spage><epage>70</epage><pages>63-70</pages><issn>0721-832X</issn><eissn>1435-702X</eissn><abstract>Purpose
To analyse the influence of renal function on the outcomes of vitrectomy for tractional-related complications in cases of severe proliferative diabetic retinopathy (PDR).
Methods
Retrospective consecutive case series of 109 eyes that underwent vitreoretinal interventions for traction-related complications of severe PDR from 2014 to 2017. Data collected included patient demographics, best-corrected visual acuity (BCVA), surgical complications, and systemic markers including HbA1c and estimated glomerular filtration rate (eGFR). Renal function categories were defined as low (eGFR < 30 mL/min/1.73 m
2
), medium (eGFR 30–60 mL/min/1.73 m
2
), and normal (eGFR > 60 mL/min/1.73m
2
).
Results
A total of 109 eyes (56% (
n
= 61) female) were included in the study. Overall, mean baseline BCVA improved from 1.33 logMAR to 0.91 logMAR (
p
< 0.001) postoperatively. Patients with low eGFR had significantly worse baseline BCVA (
p
= 0.039) and demonstrated greater improvement in mean BCVA (
p
= 0.059). Multivariate regression analysis indicated that seven predictors explained 65.5% of the variance (
R
2
= 0.655,
F
(11,97) = 16.7,
p
< 0.01).
Conclusions
Reduced renal function does not adversely affect visual outcomes of vitrectomy for traction-related complications of PDR.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31758258</pmid><doi>10.1007/s00417-019-04532-7</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9478-0890</orcidid></addata></record> |
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| ispartof | Graefe's archive for clinical and experimental ophthalmology, 2020, Vol.258 (1), p.63-70 |
| issn | 0721-832X 1435-702X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2317593085 |
| source | SpringerNature Journals |
| subjects | Acuity Demography Diabetes Diabetes mellitus Diabetic retinopathy Epidermal growth factor receptors Glomerular filtration rate Medicine Medicine & Public Health Ophthalmology Renal function Retinal Disorders Retinopathy Surgery Surgical outcomes |
| title | Surgical outcomes of vitrectomy surgery for proliferative diabetic retinopathy in patients with abnormal renal function |
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