Patel Nimesh C, Hsieh Yi-Ting, Yang Chung-May, Berrocal Maria H, Dhawahir-Scala Felipe, Ruamviboonsuk Paisan, Pappuru Rajeev Reddy, Dave Vivek Pravin
Smt. Kanuri Santhamma Center for Vitreoretinal Diseases, Anant Bajaj Retina Institute, LV Prasad Eye Institute, Hyderabad, Telangana, India.
Department of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan.
Taiwan J Ophthalmol. 2024 Jan 31;14(4):519-530. doi: 10.4103/tjo.TJO-D-23-00108. eCollection 2024 Oct-Dec.
Diabetic retinopathy is one of the most severe forms of retinopathy and a leading cause of blindness all over the world. Of a greater concern is proliferative diabetic retinopathy which leads to vitreous haemorrhage and tractional retinal detachment in such cases. A majority of these cases require a surgical intervention to improve vision and prevent further vision loss. Surgical manouevers in these cases require a complex combination of vitrectomy, membrane dissection, judious usage of endodiathermy, endolaser, vital dyes, bimanual dissection and usage of intraoperative and post-operative tamponades. Each case presents a unique challenge and necessitates an appropriate combination of the steps mentioned above. In the current review we present the current understanding of the need for surgery in diabetic retinopathy, various surgical approaches and a summary of current literature on the same. Multiple surgical video clips demonstrating these steps are also included in this review.
糖尿病性视网膜病变是最严重的视网膜病变形式之一，也是全球失明的主要原因。更令人担忧的是增殖性糖尿病性视网膜病变，在这种情况下会导致玻璃体出血和牵拉性视网膜脱离。这些病例中的大多数需要手术干预以改善视力并防止进一步的视力丧失。这些病例的手术操作需要玻璃体切除术、膜剥离术、合理使用眼内透热疗法、眼内激光、活性染料、双手剥离术以及术中及术后填塞物的复杂组合。每个病例都带来独特的挑战，需要上述步骤的适当组合。在本综述中，我们阐述了目前对糖尿病性视网膜病变手术需求的理解、各种手术方法以及关于同一主题的当前文献综述。本综述还包括展示这些步骤的多个手术视频片段。
