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Chapter-48 Surgery for Proliferative Diabetic Retinopathy

BOOK TITLE: Retina: Medical and Surgical Management

Author
1. Kumar Atul
2. Bhende Pramod S
3. Mutha Vineet
ISBN
9789352702947
DOI
10.5005/jp/books/18054_49
Edition
1/e
Publishing Year
2018
Pages
12
Author Affiliations
1. Dr. RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Dr RP Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, All India Institute of Medical Sciences New Delhi, India, Anil Hospital, Jaipur, India, Dr RP Center for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Jaipur, Rajasthan, India, Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, Women’s Health Center; Anil Nursing Home, Jaipur, Rajasthan, India, All India Institute of Medical Sciences, New Delhi, India
2. Shankara Nethralaya, Chennai, Sankara Nethralaya, 18 College Road, Chennai, Tamil Nadu, India, Sankara Nethralaya, Shri Bhagwan Mahavir, Vitreoretinal Services, Chennai, Tamil Nadu, India, Chennai, Tamil Nadu, India
3. Dr Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India, All India Institute of Medical Sciences, New Delhi, India
Chapter keywords
Proliferative diabetic retinopathy, PDR, retinal microvasculature, blood vessel, vitreoretinal adhesion, surgical intervention, preoperative evaluation, antivascular endothelial growth factor, vitrectomy

Abstract

The aim of this chapter is to focus on the surgery for proliferative diabetic retinopathy. Diabetic retinopathy is primarily a disease of retinal microvasculature, and is characterized by progressive retinal ischemia resulting in development of new blood vessels in the late phase [proliferative diabetic retinopathy (PDR)]. Robert Machemer performed his first vitrectomy in a patient with nonresolving VH secondary to PDR in 1970. Since then, surgical interventions for PDR have continued to evolve. Types of vitreoretinal adhesions, indications for surgical intervention in proliferative diabetic retinopathy, preoperative evaluation, surgical techniques, additional procedures, antivascular endothelial growth factor as an adjunct to vitrectomy, and surgical complications are covered in this chapter.

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