Vitrectomy for cases of diabetic retinopathy
Microvascular complications of diabetic retinopathy (DR) may require surgical intervention in the form of vitrectomy. Since its inception, diabetic vitrectomy has evolved with introduction of better instruments, newer techniques, and smaller port sizes. Common indications for diabetic vitrectomy inc...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_30_24 |
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| author | Nawazish Shaikh Vinod Kumar Aiswarya Ramachandran Ramesh Venkatesh Uday Tekchandani Mudit Tyagi Chaitra Jayadev Mohit Dogra Rohan Chawla |
| author_facet | Nawazish Shaikh Vinod Kumar Aiswarya Ramachandran Ramesh Venkatesh Uday Tekchandani Mudit Tyagi Chaitra Jayadev Mohit Dogra Rohan Chawla |
| author_sort | Nawazish Shaikh |
| collection | DOAJ |
| description | Microvascular complications of diabetic retinopathy (DR) may require surgical intervention in the form of vitrectomy. Since its inception, diabetic vitrectomy has evolved with introduction of better instruments, newer techniques, and smaller port sizes. Common indications for diabetic vitrectomy include nonresolving vitreous hemorrhage, tractional retinal detachment, epiretinal membrane, progression of fibrovascular membranes despite laser therapy, recalcitrant diabetic macular edema, and neovascular glaucoma. Preoperative systemic stabilization is essential prior to planning surgery. Surgical techniques commonly used in diabetic vitrectomy are segmentation, delamination, and rarely en-bloc dissection. Modification in surgical techniques such as chandelier-assisted bimanual dissection and pharmacological adjuvants improve surgical outcomes in these patients. Prognosis in these patients could be improved with early intervention. Studies evaluating the outcome of vitrectomy in patients with early proliferative DR are required to understand the appropriate time of intervention in patients. Treatment aimed at arresting the progression of DR and gene therapy are avenues that need further evaluation. The following review will focus on covering the epidemiology of DR, indications of vitrectomy, preoperative considerations, surgical procedures of diabetic vitrectomy, methods of membrane dissection, pharmacological adjuvants to vitrectomy, outcomes of diabetic vitrectomy, and future directions of diabetic vitrectomy. |
| format | Article |
| id | doaj-art-0b7b37d5bcd945c5ac2ee30d88537435 |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-0b7b37d5bcd945c5ac2ee30d885374352024-12-09T09:09:26ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892024-12-0172121704171310.4103/IJO.IJO_30_24Vitrectomy for cases of diabetic retinopathyNawazish ShaikhVinod KumarAiswarya RamachandranRamesh VenkateshUday TekchandaniMudit TyagiChaitra JayadevMohit DograRohan ChawlaMicrovascular complications of diabetic retinopathy (DR) may require surgical intervention in the form of vitrectomy. Since its inception, diabetic vitrectomy has evolved with introduction of better instruments, newer techniques, and smaller port sizes. Common indications for diabetic vitrectomy include nonresolving vitreous hemorrhage, tractional retinal detachment, epiretinal membrane, progression of fibrovascular membranes despite laser therapy, recalcitrant diabetic macular edema, and neovascular glaucoma. Preoperative systemic stabilization is essential prior to planning surgery. Surgical techniques commonly used in diabetic vitrectomy are segmentation, delamination, and rarely en-bloc dissection. Modification in surgical techniques such as chandelier-assisted bimanual dissection and pharmacological adjuvants improve surgical outcomes in these patients. Prognosis in these patients could be improved with early intervention. Studies evaluating the outcome of vitrectomy in patients with early proliferative DR are required to understand the appropriate time of intervention in patients. Treatment aimed at arresting the progression of DR and gene therapy are avenues that need further evaluation. The following review will focus on covering the epidemiology of DR, indications of vitrectomy, preoperative considerations, surgical procedures of diabetic vitrectomy, methods of membrane dissection, pharmacological adjuvants to vitrectomy, outcomes of diabetic vitrectomy, and future directions of diabetic vitrectomy.https://journals.lww.com/10.4103/IJO.IJO_30_24diabetic macular edemadiabetic retinopathydiabetic vitrectomyepiretinal membraneneovascular glaucomaproliferative diabetic retinopathyvitreous hemorrhage |
| spellingShingle | Nawazish Shaikh Vinod Kumar Aiswarya Ramachandran Ramesh Venkatesh Uday Tekchandani Mudit Tyagi Chaitra Jayadev Mohit Dogra Rohan Chawla Vitrectomy for cases of diabetic retinopathy Indian Journal of Ophthalmology diabetic macular edema diabetic retinopathy diabetic vitrectomy epiretinal membrane neovascular glaucoma proliferative diabetic retinopathy vitreous hemorrhage |
| title | Vitrectomy for cases of diabetic retinopathy |
| title_full | Vitrectomy for cases of diabetic retinopathy |
| title_fullStr | Vitrectomy for cases of diabetic retinopathy |
| title_full_unstemmed | Vitrectomy for cases of diabetic retinopathy |
| title_short | Vitrectomy for cases of diabetic retinopathy |
| title_sort | vitrectomy for cases of diabetic retinopathy |
| topic | diabetic macular edema diabetic retinopathy diabetic vitrectomy epiretinal membrane neovascular glaucoma proliferative diabetic retinopathy vitreous hemorrhage |
| url | https://journals.lww.com/10.4103/IJO.IJO_30_24 |
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