Evidence map›Paper›PMID 42432546›Full record

ArticleBMC ophthalmology2026

Predictive factors, timing, and management of recurrent vitreous hemorrhage after pars plana vitrectomy in advanced proliferative diabetic retinopathy.

Emine Çiloğlu, Göksu Hande Naz

Abstract read
In one paragraph

Article in BMC ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Emine ÇiloğluSevgi Eye Center, Adana, Turkey.
Göksu Hande NazGöksu Hande Naz NISH Clinic, Adana, Turkey. drghande@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the incidence, timing, predictive factors, pathophysiological mechanisms, and management outcomes of recurrent vitreous hemorrhage (RVH) following pars plana vitrectomy (PPV) in patients with advanced proliferative diabetic retinopathy (PDR), and to contextualize these findings within the current literature.

methodsThis retrospective cohort study included 65 patients undergoing 25-gauge PPV for vitreous hemorrhage secondary to PDR with a mean follow-up of 15 ± 3 months. All patients received preoperative anti-VEGF injection 5 days prior to surgery. Demographic, systemic, ocular, and intraoperative variables were analyzed. Recurrent vitreous hemorrhage was classified as early (< 4 weeks) or late (> 4 weeks). Comparative univariate analyses were performed to identify factors associated with RVH.

resultsRecurrent vitreous hemorrhage developed in 13 of 65 patients (20.0%). Early RVH occurred in 11 patients (16.9%), whereas late RVH occurred in 2 patients (3.1%). Severe intraoperative bleeding (38.5% vs. 0%, p < 0.001), anticoagulant use (53.8% vs. 25.0%, p = 0.04), and dialysis (38.5% vs. 9.6%, p = 0.01) were significantly associated with RVH. Silicone oil tamponade was less frequently used in patients who developed RVH (23.1% vs. 65.4%, p = 0.01). Tractional retinal detachment was not significantly associated with RVH (p = 0.78).

conclusionRecurrent vitreous hemorrhage remains a clinically significant complication following PPV in advanced PDR. Severe intraoperative bleeding, anticoagulant use, and dialysis were significantly associated with RVH development, whereas silicone oil tamponade was associated with a lower frequency of postoperative hemorrhage. These findings may contribute to risk stratification and postoperative monitoring in patients with advanced PDR.

Indexed as

Diabetic RetinopathyVitrectomyVitreous HemorrhageAgedFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsTime FactorsVisual AcuityAnticoagulationAnti-VEGFDiabetic retinopathyVitrectomyVitreous hemorrhage

Identifiers

PMID42432546
PMCPMC13556094

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.