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- W2182757495 abstract "Vitreous hemorrhage and tractional or combined tractional-rhegmatogenous retinal detachment are both indications for vitrectomy and associated techniques in the management of proliferative diabetic retinopathy. Early vitrectomy for vitreal hemorrhage in patients with type 1 diabetes is more likely to achieve a visual acuity of 10/20 or better than deferred vitrectomy. The most common indication for diabetic retinopathy is tractional retinal detachment. Surgery must be performed when the detachment involves or threatens the macula. Combined tractional-rhegmatogenous retinal detachment always requires surgery regardless of the macular status. Because the basic pathophysiology involves vitreoretinal adhesions via vascular epicenters, vitrectomy for proliferative diabetic retinopathy demands an assessment of posterior vitreous separation. Sectioning and delamination techniques are primarily used to treat proliferative diabetic retinopathy. Intravitreal injection of bevacizumab 2 days before surgery decreases the risk of hemorrhage. However, retinal traction and hence hemorrhage and retinal breaks can occur if surgery is deferred beyond that period. In cases of diffuse macular edema due to traction from a taut posterior hyaloid, pars plana virectomy with separation and removal of the posterior hyaloid is effective at causing regression of the macular edema. Some surgeons perform peeling of the internal limiting membrane to relieve residual traction. Indocyanine green is used to stain this membrane and facilitate its visualization." @default.
- W2182757495 created "2016-06-24" @default.
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- W2182757495 date "2008-01-01" @default.
- W2182757495 modified "2023-10-18" @default.
- W2182757495 title "Vitreoretinal surgery in the treatment of the proliferative diabetic retinopathy and diabetic macular edema Cirugía vitreorretiniana en el tratamiento de la retinopatía diabética proliferativa y el edema macular diabético" @default.
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