03/03/2026
𝗢𝗨𝗧𝗖𝗢𝗠𝗘 𝗢𝗙 𝗩𝗜𝗧𝗥𝗘𝗖𝗧𝗢𝗠𝗬 𝗙𝗢𝗥 𝗖𝗢𝗠𝗣𝗟𝗜𝗖𝗔𝗧𝗜𝗢𝗡𝗦 𝗢𝗙 𝗣𝗥𝗢𝗟𝗜𝗙𝗘𝗥𝗔𝗧𝗜𝗩𝗘 𝗗𝗜𝗔𝗕𝗘𝗧𝗜𝗖 𝗥𝗘𝗧𝗜𝗡𝗢𝗣𝗔𝗧𝗛𝗬 𝗔𝗧
𝗠𝗔𝗚𝗥𝗔𝗕𝗜 𝗜𝗖𝗢 𝗖𝗔𝗠𝗘𝗥𝗢𝗢𝗡 𝗘𝗬𝗘 𝗜𝗡𝗦𝗧𝗜𝗧𝗨𝗧𝗘.
The 2026 Congress of the Cameroonian Society of Ophthalmology once again provided an opportunity for MICEI ophthalmologists to demonstrate their expertise and leadership.
𝐃𝐫. 𝐇𝐄𝐋𝐋𝐄𝐒 𝐆’, Ophthalmologist, Cataract Surgeon, Retina Specialist, WACS Fellow, was among the distinguished presenters, showcasing the high level of specialization and commitment to excellence.
📍𝐀𝐛𝐬𝐭𝐫𝐚𝐜𝐭 𝐂𝐨𝐧𝐭𝐫𝐢𝐛𝐮𝐭𝐨𝐫𝐬 :
AFETANE T’, TCHUINDEM S’, EMADE N’,
SIGNE J’, TCHOUYO M’, JIBIA GI, NKUMBE H.E’
Magrabi ICO Cameroon Eye Institute
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🔖Introduction :
Complications of proliferative diabetic retinopathy (PDR) include vitreous hemorrhage, tractional retinal detachment, combined tractional and rhegmatogenous retinal detachment, and severe fibrovascular proliferation. These complications can lead to severe visual loss and require surgical management.
🧩Objective :
To evaluate the functional and anatomical outcomes, as well as postoperative complications, of pars plana vitrectomy in patients presenting with complications of PDR.
🖨️Materials and Methods :
This retrospective study included patients who underwent surgery for complications of PDR at Magrabi ICO Cameroon Eye Institute between January 2024 and October 2025.
Collected data included preoperative and postoperative visual acuity, surgical indication, surgical technique, and anatomical outcomes.
Twelve eyes of 11 patients were included.
Surgical indications were persistent vitreous hemorrhage (11 eyes) and macula-threatening tractional retinal detachment (1 eye).
Surgical approaches included vitrectomy alone, vitrectomy with membrane delamination/dissection, and combined cataract surgery with vitrectomy and membrane delamination/dissection.
🟢 Results :
All patients had type 2 diabetes mellitus.
The mean glycated hemoglobin (HbA1c) was 7.9% (range: 5.8–13.6%), and the mean fasting blood glucose was 147.6 mg/dL (range: 85–223 mg/dL).
Mean best-corrected visual acuity improved from 1.7 logMAR (0.2/10) preoperatively to 0.8 logMAR (1.5/10) postoperatively (p < 0.0001).
Anatomical success was achieved in 91.7% of eyes.
Postoperative complications included recurrent vitreous hemorrhage (1 eye), retinal detachment (1 eye), and macular edema (1 eye).
✨Conclusion :
Pars plana vitrectomy is an effective and essential surgical treatment for advanced PDR, achieving a high rate of anatomical success. However, improvement in visual acuity may remain limited.
Keywords: Proliferative diabetic retinopathy, pars plana, vitrectomy