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Diabetic retinopathy (DR) is the main cause of blindness among working-age adults in the world. Proliferative diabetic retinopathy (PDR) is the severe stage of DR, which is characterized by neovascularization of the retina. Vitreous hemorrhage and traction retinal detachment caused by PDR often require vitrectomy. The purpose of vitrectomy is to remove vitreous hemorrhage, peel off the preretinal proliferative membrane and help restore the retina. With the deepening of people's understanding of diabetes and the development and application of various hypoglycemic drugs, the life expectancy of patients with diabetes continues to prolong. Therefore, the goal of vitrectomy in patients with DR is not only to prevent blindness, but also to maintain good vision for a long time. The purpose of this study is to analyze the risk factors related to the occurrence of long-term low vision postoperatively and establish a risk prediction model, which can help patients adjust their psychological expectations reasonably and promote communication between doctors and patients.
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| Measure | Description | Time Frame |
|---|---|---|
| Best corrected visual acuity at the last follow-up | Standard logarithmic visual acuity scale | 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| The occurrence of re-vitrectomy | The occurrence and indication of re-vitrectomy during the follow-up period | 1 year |
| The occurrence of neovascular glaucoma | Non-contact computerized tonometer (CT-1, Topcon, Japan) and slit-lamp biomicroscopy |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who underwent vitrectomy for PDR in Tianjin Medical University Eye Hospital and the follow-up period is more than 12 months. They are divided into low vision and non-low vision groups based on the BCVA at the last follow-up.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Bojie Hu | Contact | 13612130943 | bhu07@tmu.edu.cn |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tianjin medical university eye hosipital | Recruiting | Tianjin | Tianjin Municipality | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 40671060 | Derived | Nie Z, Xing W, Zhang X, Li X, Li W, Hu B. Association between stress hyperglycemia ratio and diabetic retinopathy progression and surgical prognosis: insights from NHANES 2005-2018 and clinical cohort study. Diabetol Metab Syndr. 2025 Jul 16;17(1):271. doi: 10.1186/s13098-025-01839-w. |
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| 1 year |
| The occurrence of vitrectomy for the fellow eye | The occurrence of vitrectomy for the fellow eye during the follow-up period | 1 year |