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Coordination skills during vitrectomy in treatment of proliferative diabetic retinopathy.

PURPOSE
To discuss effective nursing and coordination skills for vitrectomy in the treatment of diabetic retinopathy.


METHODS
Fifty patients (51 eyes) with diabetic retinopathy required vitrectomy were enrolled in this study. Individual nursing service was delivered by strengthening preoperative preparation, providing psychological nursing, and intraoperative observation of the severity of diseases by circulating nurses; meticulous nursing was given postoperatively.


RESULTS
All 50 patients underwent surgery successfully. Intraoperatively, patients had stable physical signs. Five patients had postoperative visual acuity < 0.05, 14 with 0.05 to 0.1, 20 with 0.1 to 0.3 and 16 with > 0.3. No complicated infection was seen.


CONCLUSION
For patients diagnosed with proliferative diabetic retinopathy requiring vitrectomy, full preparations should be made and psychological nursing should be delivered preoperatively, the severity of diseases and clinical reactions should be closely observed intraoperatively, and proper processing and nursing measures should be taken postoperatively, which collectively enhance surgical success rate, decrease surgical complications, and attain favorable treatment efficacy.