Diabetic retinal detachment surgery at a central academic hospital, Johannesburg, South Africa

African Vision and Eye Health

Field Value
Title Diabetic retinal detachment surgery at a central academic hospital, Johannesburg, South Africa
Creator Mofokeng, Mathabo Makgotloe, Mokokomadi A.
Subject ophthalmology; vitreoretina Retinal; tractional detachment; African; sub-Saharan Africa; rhegmatogenous; diabetic retinopathy
Description Background: Tractional retinal detachment surgery outcomes are unpredictable and need to be reviewed regularly in clinical practice settings.Aim: To describe the visual acuity and anatomical outcomes of retinal detachment surgery for diabetic tractional retinal detachment at a central academic hospital.Setting: Johannesburg, South Africa.Methods: This study involves a retrospective case series of patients who had surgery for diabetic tractional retinal detachment at Charlotte Maxeke Johannesburg Academic Hospital between 01 January 2010 and 31 December 2014.Results: A total of 65 patients with diabetic retinal detachment were included in this study. The study consisted of 63% (n = 41) male patients and 37% (n = 24) female patients. The mean age (± standard deviation) was 54 ± 12.2 years. Forty-four patients (68%) had tractional retinal detachment, and 21 (32%) patients had a combined tractional and rhegmatogenous retinal detachment. Twenty-one (32%) patients had detachments associated with vitreous haemorrhage (VH), and 39 (60%) patients had macular-involving detachments. Forty-six (71%) patients obtained vision improvement or stabilisation and reattachment of the retina, 24 (36.9%) patients had visual acuity improvement, 22 (33.9%) patients retained the same visual acuity and 19 (29.2%) patients lost vision. Fifty-five (85%) patients had successful anatomical reattachment of the retina, and 10 (15%) patients had re-detachments after surgery.Conclusion: The majority of patients whose files were reviewed benefited from surgical intervention for diabetic tractional retinal detachment in terms of stabilisation or improvement of vision.Contribution: Tractional detachment surgery outcomes in our setting are comparable to those from elsewhere around the world.
Publisher AOSIS
Date 2023-01-30
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Retrospective cohort study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/aveh.v82i1.761
Source African Vision and Eye Health; Vol 82, No 1 (2023); 4 pages 2410-1516 2413-3183
Language eng
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://avehjournal.org/index.php/aveh/article/view/761/2052 https://avehjournal.org/index.php/aveh/article/view/761/2053 https://avehjournal.org/index.php/aveh/article/view/761/2054 https://avehjournal.org/index.php/aveh/article/view/761/2055
Coverage Africa; South Africa; Gauteng; Johannesburg 2010-2014 Blacks; African
Rights Copyright (c) 2023 Mathabo Mofokeng, Mokokomadi A. Makgotloe https://creativecommons.org/licenses/by/4.0