Abstract
All patients underwent pars plana vitrectomy and successfully surgical resolution of tractional retinal detachment forming only one surgery group and more than one surgery group in cases of recurrent diabetic TRD. Structural, perfused and functional postoperative findings were statistical analized.
Highlights
Diabetes Mellitus (DM) is a worldwide problem specially in developing countries due to poor medical care
Longitudinal multimodal imaging tests demonstrated abnormal superficial and deep microcirculation patterns with multiple micro-abnormalities of the foveal avascular zone and different but distinct areas of non-perfused macula on optical coherence tomography (OCT) angiography, as well as the presence of disorganization of the retinal inner layers (DRIL) and chronic ischemic macular edema in 82% of the eyes examined by SD-OCT
Among the main causes of potentially treated severe visual loss are diabetic macular edema (DME) and chronic cystic macular edema (CME) and complications related to proliferative diabetic retinopathy (PDR) such as recurrent vitreous hemorrhages (VH), tractional retinal detachment (TRD), refractory macular edema associated with posterior hyaloid traction, combined traction/rhegmatogenous retinal detachment and epiretinal membrane /ERM) proliferation are the most common indications of surgical vitrectomy [1,2,3]
Summary
Diabetes Mellitus (DM) is a worldwide problem specially in developing countries due to poor medical care. In selected patients the applications of adjuvants as steroids in paraocular injections or by intravitreous extended-release devices have gained popularity for their practicality effectiveness in maintaining long-term vision It has left the panretinal photocoagulation (PRP) as a second-line treatment in developed countries [4]. The results of the Diabetic Retinopathy Clinical Research Network Protocol and the CLARITY (clinical efficacy and mechanistic evaluation of aflibercept for proliferative diabetic retinopathy) trials has been used as guidelines for the surveillance and management of patients with macular edema and complications related to proliferative diabetic retinopathy [4] These results are found to be better over classical PRP treatment
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