@article{oai:dmu.repo.nii.ac.jp:00000844, author = {浅井, 将之 and 西尾, 正哉 and 伊勢, 武比古 and 小林, 史樹 and 筑田, 眞 and Asai, Masayuki and Nishio, Masaya and Ise, Takehiko and Kobayashi, Humiki and Chikuda, Makoto}, issue = {2}, journal = {Dokkyo journal of medical sciences}, month = {Jul}, note = {未治療増殖糖尿病網膜症に対する硝子体手術施行例の長期手術成績について検討した.対象は眼科未治療群19例24眼(初診時PC 未施行)で初回硝子体手術を施行し,術後3年以上経過観察できた症例とし,同期間内に初回硝子体手術を施行した眼科治療群(PC施行)30例31眼(control群)と比較検討した.内科未治療は眼科未治療群で52.6 %,control群では0%であった.初回手術時の病態では眼科未治療群で牽引性網膜剥離群(50.0%),control群で硝子体出血群(51.6%)が各群で最も多かった.術後合併症,再手術の原因は両群とも硝子体出血が最も多く認められた.術後最終視力は眼科未治療群で2段階以上の悪化例,0.1未満の視力不良例がcontrol群に比べて多く認められた.眼科未治療群はcontrol群に比べて視力予後不良のことが多いため,内科と眼科の連携を高め,早期のPCが必要であると考えられた., We evaluated long-term results of vitrectomy for untreatedproliferative diabetic retinopathy.We objected for 24 eyes of 19 patients who were untreatedgroup without PC and were underwent first-time vitrectomy,we compared with 30 eyes of 31 patients( controlledgroup)who were treated group(with PC)and were underwentfirst-time vitrectomy.54.2 % of the treated group and 0 % of the controlledgroup were treated by physician. In the status of first-timevitrectomy, traction retinal detachment group (50.0 %) inthe untreated group and vitreous hemorrhage group (51.6%) in the controlled group were the most of each group.Complications after vitrectomy and cause of reoperationshowed the most vitreous hemorrhage. In final visual acuityafter vitrectomy, it showed that untreated group was muchmore deteriorated 2 or more lines and showed 0.1 or lessthan controlled group.Untreated group was poor visual prognosis comparedwith controlled group. So we need to keep in contact withphysician and undergo PC as soon as possible., 原著, Original}, pages = {83--87}, title = {未治療増殖糖尿病網膜症に対する硝子体手術の長期成績 : 眼科治療例との比較}, volume = {37}, year = {2010}, yomi = {アサイ, マサユキ and ニシオ, マサヤ and イセ, タケヒコ and コバヤシ, フミキ and チクダ, マコト} }