Author, as appears in the article.: Baget-Bernaldiz, M; Romero-Aroca, P; Mira-Puerto, A; Bautista-Perez, A; Roca-Borrut, I; Vizcarro, M; Navarro-Gil, R; Llagostera-Serra, M
Department: Medicina i Cirurgia
URV's Author/s: Baget Bernaldiz, Marc / Llagostera Serra, Mònica / Mira Puerto, Alejandra / Navarro Gil, Raúl / Romero Aroca, Pedro
Keywords: 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
Abstract: (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.
Thematic Areas: Medicine, general & internal Medicine (miscellaneous) Medicine (all)
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: monica.llagostera@urv.cat marc.baget@urv.cat pedro.romero@urv.cat raul.navarrog@estudiants.urv.cat alejandra.mira@estudiants.urv.cat
Author identifier: 0000-0002-7061-8987 0000-0003-2970-205X 0000-0001-8548-0290
Record's date: 2024-01-13
Papper version: info:eu-repo/semantics/publishedVersion
Link to the original source: https://www.mdpi.com/2077-0383/12/8/2989
Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Journal Of Clinical Medicine. 12 (8):
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
Article's DOI: 10.3390/jcm12082989
Entity: Universitat Rovira i Virgili
Journal publication year: 2023
Publication Type: Journal Publications
Repositori URV