Refining vitrectomy for proliferative diabetic retinopathy

Graefes Arch Clin Exp Ophthalmol. 2023 Dec;261(12):3659-3670. doi: 10.1007/s00417-023-06134-w. Epub 2023 Jun 14.

Abstract

Pars plana vitrectomy (PPV) is the main treatment modality for patients with severe diabetic retinopathy. With the development of systems for microincision, wide-angle viewing, digitally assisted visualization, and intraoperative optical coherence tomography, contemporary PPV for diabetic retinopathy has been performed on a wider range of indications than previously considered. In this article, we reviewed, in conjunction with our collective experiences with Asian patients, the applications of new technologies for PPV in eyes with diabetic retinopathy and highlighted several important procedures and entities not generally reiterated in the literature, in order for vitreoretinal surgeons to optimize their approaches when facing the challenges imposed by the complications in diabetic eyes.

Keywords: Diabetic retinopathy; Fibrovascular proliferation; Pars plana vitrectomy; Retinal detachment; Vitreous hemorrhage.

Publication types

  • Review

MeSH terms

  • Diabetes Mellitus* / etiology
  • Diabetes Mellitus* / surgery
  • Diabetic Retinopathy* / complications
  • Diabetic Retinopathy* / diagnosis
  • Diabetic Retinopathy* / surgery
  • Eye
  • Humans
  • Retinal Detachment* / surgery
  • Tomography, Optical Coherence
  • Visual Acuity
  • Vitrectomy / methods