Prompt vitrectomy in patients with type 1 diabetes and diabetic retinopathy

  • Suleyman Kaynak Retina Ophthalmic Research Center
  • Oya Donmez Tınaztepe University
Keywords: Diabetic retinopathy, hemorrhage, prompt, vitrectomy, vitreous


Objectives: To evaluate the long-term outcomes of patients with type 1 diabetes mellitus (DM) who underwent prompt vitrectomy and to discuss the optimal timing for surgery.

Methods: This retrospective study included diabetic retinopathy (DR) patients with type 1 DM who underwent prompt vitrectomy at Retina Ophthalmic Research Center between March 2015 and January 2020. Demographical and clinical features including duration of diabetes, visual loss and follow-up time between visual loss and vitrectomy, best corrected visual acuity (BCVA), reoperations, complications, were reviewed.

Results: There were 25 eyes of 18 patients (with a mean age of 33 years). Duration of diabetes was 14.2 years. Mean follow-up was 23.1 months. 19 eyes received intravitreal dexamethasone implant and 5 eyes received intravitreal triamcinolone injection in the first surgery. Mean preoperative BCVA was improved from 0.3 to 0.7 log-mar postoperatively (p=0.002). Anatomic success was achieved in 23 eyes. Visual acuity was improved in vision safely and efficiently.19 eyes, stabilized in 4 eyes and deteriorated in 2 eyes. Cataract removal was needed in 6 eyes and retinal detachment occurred in 1 eye.

Conclusions: Prompt vitrectomy in type 1 DM patients is safe and effective which provides long term visual stabilization, high quality of life with low complication rate.

Author Biographies

Suleyman Kaynak , Retina Ophthalmic Research Center

MD, PhD (Corresponding Author)

Retina Ophthalmic Research Center, Department of Ophthalmology, Izmir, Turkey 

Oya Donmez, Tınaztepe University

MD, PhD, Tınaztepe University, Department of Ophthalmology, İzmir, Turkey.

How to Cite
Kaynak , S. and Donmez, O. (2023) “Prompt vitrectomy in patients with type 1 diabetes and diabetic retinopathy”, Ophthalmology Cases & Hypotheses, 4(1). doi: 10.30546/2788-516X.2023.4.1.1.