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Risk Factors for Recurrent Vitreous Hemorrhage in Type 2 Diabetes Mellitus Patients after Posterior Vitrectomy

  • Dades identificatives

    Identificador: imarina:9296668
  • Autors:

    Baget-Bernaldiz, M
    Romero-Aroca, P
    Mira-Puerto, A
    Bautista-Perez, A
    Roca-Borrut, I
    Vizcarro, M
    Navarro-Gil, R
    Llagostera-Serra, M
  • Altres:

    Autor segons l'article: Baget-Bernaldiz, M; Romero-Aroca, P; Mira-Puerto, A; Bautista-Perez, A; Roca-Borrut, I; Vizcarro, M; Navarro-Gil, R; Llagostera-Serra, M
    Departament: Medicina i Cirurgia
    Autor/s de la URV: Baget Bernaldiz, Marc / Llagostera Serra, Mònica / Mira Puerto, Alejandra / Navarro Gil, Raúl / Romero Aroca, Pedro
    Paraules clau: Retinopathy Retinal laser photocoagulation Recurrent vitreous hemorrhage Proliferative diabetic retinopathy Posterior vitreous Diabetes duration Anemia retinal laser photocoagulation recurrent vitreous hemorrhage prevalence posterior vitreous epidemiology diabetes duration association anticoagulation anemia age
    Resum: (Background) The aim of this study was to determine the factors related to recurrent vitreous hemorrhage (RVH) in a sample of proliferative diabetic retinopathy (PDR) patients. (Methods) This was a retrospective, review-based study. We studied 183 eyes from 121 type 2 diabetes patients with PDR. We recorded the duration of diabetes, history of hypertension, retinal photocoagulation status, posterior vitreous status, mean HbA1c and hemoglobin levels, renal function, and systemic complications associated with diabetes. We also recorded surgical variables—the presence of tractional retinal detachment, the application of segmentation and diathermy on fibrovascular proliferative tissue, and the use of silicone oil—to study which independent variables were significantly related to the presence of RVH. (Results) The duration of diabetes (p = 0.028), hemoglobin level (p = 0.02), status of the posterior vitreous (p = 0.03), retinal photocoagulation status (p = 0.002), and the presence of tractional retinal detachment (p = 0.03) were significantly associated with the presence of RVH. On the other hand, the use of diathermy was associated with fewer RVH events (p < 0.005). In addition, patients with diabetic polyneuropathy, myocardial infarction, and ischemia in the lower limbs exhibited more vitreous hemorrhage events (p < 0.001). (Conclusions) Patients with PDR and a longer diabetes duration, anemia, attached posterior vitreous, deficient retinal photocoagulation, and prior cardiovascular events were more prone to RVH.
    Àrees temàtiques: Medicine, general & internal Medicine (miscellaneous) Medicine (all)
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: monica.llagostera@urv.cat marc.baget@urv.cat alejandra.mira@estudiants.urv.cat raul.navarrog@estudiants.urv.cat pedro.romero@urv.cat
    Identificador de l'autor: 0000-0001-8548-0290 0000-0003-2970-205X 0000-0002-7061-8987
    Data d'alta del registre: 2024-08-03
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.mdpi.com/2077-0383/12/8/2989
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Journal Of Clinical Medicine. 12 (8):
    Referència de l'ítem segons les normes APA: Baget-Bernaldiz, M; Romero-Aroca, P; Mira-Puerto, A; Bautista-Perez, A; Roca-Borrut, I; Vizcarro, M; Navarro-Gil, R; Llagostera-Serra, M (2023). Risk Factors for Recurrent Vitreous Hemorrhage in Type 2 Diabetes Mellitus Patients after Posterior Vitrectomy. Journal Of Clinical Medicine, 12(8), -. DOI: 10.3390/jcm12082989
    DOI de l'article: 10.3390/jcm12082989
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2023
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Medicine (Miscellaneous),Medicine, General & Internal
    Retinopathy
    Retinal laser photocoagulation
    Recurrent vitreous hemorrhage
    Proliferative diabetic retinopathy
    Posterior vitreous
    Diabetes duration
    Anemia
    retinal laser photocoagulation
    recurrent vitreous hemorrhage
    prevalence
    posterior vitreous
    epidemiology
    diabetes duration
    association
    anticoagulation
    anemia
    age
    Medicine, general & internal
    Medicine (miscellaneous)
    Medicine (all)
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