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Subretinal hemorrhages in proliferative diabetic retinopathy.

Publication ,  Journal Article
Morse, LS; Chapman, CB; Eliott, D; Benner, JD; Blumenkranz, MS; McCuen, BW
Published in: Retina
1997

PURPOSE: To describe the clinical features of patients with advanced proliferative diabetic retinopathy who underwent vitrectomy and were found to have subretinal hemorrhages. METHODS: The authors conducted a retrospective study of 49 patients with complications of proliferative diabetic retinopathy requiring pars plana vitrectomy and demonstrating the presence of subretinal hemorrhage. Preoperative, intraoperative, and postoperative clinical characteristics were evaluated. Patients were observed for a minimum of 6 months. RESULTS: The location, size, and clearance of subretinal hemorrhages revealed wide variation. Forty-two patients had focal subretinal hemorrhages, and 14 patients within this group had submacular hemorrhages. A retinal break was observed in 15 patients (31%). Only one patient required drainage of the subretinal hemorrhage to achieve retinal reattachment. Vitreous surgery resulted in 59% of patients achieving a visual acuity > or = 5/200. Seventy-nine percent had stable or improved vision, whereas 20% had worse vision after surgery. CONCLUSION: Subretinal hemorrhages appear to be an uncommon feature associated with long-term, advanced proliferative diabetic retinopathy and portend a guarded visual prognosis. These hemorrhages may occur spontaneously in previously untreated eyes and are often unsuspected until observed at the time of vitreous surgery. In general, removal of subretinal hemorrhages was not necessary to achieve macular anatomic attachment, and most patients experienced improved visual function after surgery. Diabetic subretinal hemorrhages may indicate a retinal break, and, therefore, careful ophthalmic inspection should be performed in these patients.

Duke Scholars

Published In

Retina

DOI

ISSN

0275-004X

Publication Date

1997

Volume

17

Issue

2

Start / End Page

87 / 93

Location

United States

Related Subject Headings

  • Vitreous Hemorrhage
  • Vitrectomy
  • Visual Acuity
  • Treatment Outcome
  • Retrospective Studies
  • Retinal Perforations
  • Retinal Neovascularization
  • Retinal Hemorrhage
  • Retinal Detachment
  • Ophthalmology & Optometry
 

Citation

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Chicago
ICMJE
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Morse, L. S., Chapman, C. B., Eliott, D., Benner, J. D., Blumenkranz, M. S., & McCuen, B. W. (1997). Subretinal hemorrhages in proliferative diabetic retinopathy. Retina, 17(2), 87–93. https://doi.org/10.1097/00006982-199703000-00001
Morse, L. S., C. B. Chapman, D. Eliott, J. D. Benner, M. S. Blumenkranz, and B. W. McCuen. “Subretinal hemorrhages in proliferative diabetic retinopathy.Retina 17, no. 2 (1997): 87–93. https://doi.org/10.1097/00006982-199703000-00001.
Morse LS, Chapman CB, Eliott D, Benner JD, Blumenkranz MS, McCuen BW. Subretinal hemorrhages in proliferative diabetic retinopathy. Retina. 1997;17(2):87–93.
Morse, L. S., et al. “Subretinal hemorrhages in proliferative diabetic retinopathy.Retina, vol. 17, no. 2, 1997, pp. 87–93. Pubmed, doi:10.1097/00006982-199703000-00001.
Morse LS, Chapman CB, Eliott D, Benner JD, Blumenkranz MS, McCuen BW. Subretinal hemorrhages in proliferative diabetic retinopathy. Retina. 1997;17(2):87–93.

Published In

Retina

DOI

ISSN

0275-004X

Publication Date

1997

Volume

17

Issue

2

Start / End Page

87 / 93

Location

United States

Related Subject Headings

  • Vitreous Hemorrhage
  • Vitrectomy
  • Visual Acuity
  • Treatment Outcome
  • Retrospective Studies
  • Retinal Perforations
  • Retinal Neovascularization
  • Retinal Hemorrhage
  • Retinal Detachment
  • Ophthalmology & Optometry