Bariatric surgery might aggravate proliferative diabetic retinopathy

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dc.authorid0000-0003-0829-3912
dc.authorscopusid50263136900
dc.authorscopusid9733109900
dc.authorwosidHorozoglu, Fatih/AAM-4273-2021
dc.contributor.authorSever, Özkan
dc.contributor.authorHorozoğlu, Fatih
dc.date.accessioned2022-05-11T14:35:47Z
dc.date.available2022-05-11T14:35:47Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Göz Hastalıkları Ana Bilim Dalı
dc.description.abstractPurpose This study aimed to assess the changes experienced by patients with proliferative diabetic retinopathy (PDR) after bariatric surgery (BS). Methods This retrospective observational study includes 37 eyes of 21 patients with PDR who underwent BS at a tertiary university hospital over the period of 2014-2018. The control group (CG) comprised 37 eyes of 27 patients with PDR who attended the same research hospital for diabetes care without undergoing BS. Preoperative and postoperative glycated haemoglobin (HbA1c) levels, weight and diabetic retinopathy screening results were collected from the medical records of the patients. Patients who had undergone preoperative retinal screening and at least one postoperative retinal screening were included in the analysis. Results Both groups exhibited statistically significant visual acuity (VA) loss at 6 months and 1 year (p < 0.001). At postoperative 6 months the VA loss experienced by the control BS group was significantly more severe than that experienced by the CG (p = 0.03). The first-year HbA1c levels of the BS group were significantly lower than those of the CG (p = 0.02). The BS group had significantly higher intraocular haemorrhage (p = 0.04), neovascular glaucoma (p = 0.04) and retinal vein occlusion (p = 0.04) rates than the CG group. All complications occurred at different patients. Conclusion Patients with PDR who received BS showed more severe retinopathy than patients who were matched for age, sex, HbA1c levels and follow-up duration and who did not receive BS.
dc.identifier.doi10.1111/aos.14342
dc.identifier.endpageE584
dc.identifier.issn1755-375X
dc.identifier.issn1755-3768
dc.identifier.issue5en_US
dc.identifier.pmid31912621
dc.identifier.scopus2-s2.0-85077887628
dc.identifier.scopusqualityQ1
dc.identifier.startpageE579
dc.identifier.urihttps://doi.org/10.1111/aos.14342
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8223
dc.identifier.volume98
dc.identifier.wosWOS:000505964800001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSever, Özkan
dc.institutionauthorHorozoğlu, Fatih
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofActa Ophthalmologica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectbariatric surgery
dc.subjectintraocular haemorrhage
dc.subjectneovascular glaucoma
dc.subjectproliferative diabetic retinopathy
dc.subjectObese-Patients
dc.titleBariatric surgery might aggravate proliferative diabetic retinopathy
dc.typeArticle

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