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Early vitrectomy leads to better visual outcomes

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Patients with type 2 diabetes who have vitreous hemorrhage tend to have better visual outcomes the earlier they undergo vitrectomy, researchers in Germany found. These results seem to contrast with the recommendations from the Diabetic Retinopathy Vitrectomy Study, which suggests delay of vitrectomy for 6 months.

All 79 patients in this study underwent pars plana vitrectomy. Seventy-eight percent of patients who underwent an early vitrectomy had better or equal visual acuity after the vitrectomy, and 22% had a decrease in visual acuity. In comparison, only 64% of patients who underwent later vitrectomy had better or equal visual acuity.

The study is published in Spektrum der Augenheilkunde.