The Following is a summary of “racial arrangements in patients with proliferative diabetic retinopathy treated with pars flat vitrectomy in an an underserved population,” published in the april 2025 issue of of BMC Ophthalmology by Thompson et al.
Proliferative Diabetic Retinopathy (PDR), Serious Microvascular Complication of Diabetes, Was Associated with Irreversible Vision Loss, and Prior Studies Indicated that racial minorities with PDR Received Less Screening and Treatment and Had more complications.
Researchers Drived the Retrospective Study to Examine How Race Influenced the Surgical Present and Outcomes of Pars Plan Vitrectomy (PPV) for PDR.
They review Cases of Individuals Who Underwent ppv for pdr at a country hospital Between January 1, 2014, and December 30, 2019, with at Least 6 months of follow-up. Demographic Data, Medical History, Surgical Indications, Operative Outcomes, and Complications Were Collected. Snellen Best Corrected Visual Accuity (BCVA) was converted to logmar. Statistical Analysis Involved Chi-Square Testing, Analysis of Variance (Anova), Generalized Linear Modeling, and Multivariate Analysis.
The Results Showed That 715 Individuals (915 Eyes) Were Included Who Underwent PPV for PDR. OF THESE, 576 WEREISPANIC (80.6%), 103 WERE BLACK (14.4%), AND 36 WERE NON-HISPANIC WHITE (5.0%), WITH 75%VEIRING CHARITY-BASED INSURANCE. Black Individuals Had Higher Preoperative Hemoglobin A1C (HBA1C) Levels Than Hispanic Individuals (8,779 vs 8,271, P = 0.011). The Likeliod of Undergoing Surgery for Tractional Retinal Detachment (TRD) was Greater in Black Individuals Compred to Hispanic (or: 0.901, P <0.001) and individuals Individuals (OR: 0.870, P <0.001). Macula-Involving Trds Were Also More Frequent in Black Individuals Than in Hispanic (OR: 1,194, P<0.001) and individuals individuals (OR: 1,289, P= 0.005). Multivariate Analysis Showed Race Did Not Affect Surgical Outcomes, Including Post-Operative Visual Accuity, Anatomical Success, or Need for Repeat Surgery.
Investigators Concluded that Black Patients Received Surgery for Diabetic Retinopathy at the More Advanced Stage of the Disease, Butir Their Surgical Outcomes Did Not Signally Differ From Those of Phher Groups.
Source: bmcophthalmol.biomedcentral.com/articles/10.1186/s12886-025-04037-4
