Open AccessSurgical management of diabetic retinopathy
Author(s) -
Vishali Gupta,
J. Fernando Arévalo
Publication year - 2013
Publication title -
middle east african journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.357
H-Index - 25
eISSN - 0975-1599
pISSN - 0974-9233
DOI - 10.4103/0974-9233.120003
Subject(s) - medicine , vitrectomy , pars plana , diabetic retinopathy , macular edema , intervention (counseling) , surgery , diabetic macular edema , ophthalmology , edema , diabetes mellitus , retinal , visual acuity , psychiatry , endocrinology
Surgery for late complications of proliferative diabetic retinopathy remains the cornerstone of management even in patients who have received optimal laser photocoagulation and medical therapy. With improvisation in the surgical techniques and development of micro-incision surgical techniques for vitrectomy, the indications for surgical intervention are expanding to include diabetic macular edema with a greater number of patients undergoing early intervention. This review describes the current indications, surgical techniques, adjunctive anti-vascular endothelial growth factor therapy, surgical outcomes, and postoperative complications of pars plana vitrectomy for proliferative diabetic retinopathy and macular edema.