Surgery for proliferative diabetic retinopathy: New tips and tricks

Abstract

Over the recent years, retina specialists have enjoyed significant improvements in the surgical management of proliferative diabetic retinopathy including improved preoperative planning, vitreoretinal instrumentation and new surgical maneuvers. In this review, we present new tips and tricks such as preoperative pharmacotherapy approaches including pegaptanib injection and biodegradable dexamethasone implantation, bimanual vitrectomy techniques and the concept of mixing small gauges as well as valved cannulas and intraoperative optical coherence tomography. With advanced surgical planning and sophisticated operative maneuvers tailored to the individual patient, excellent outcomes can be achieved even in severe cases of diabetic tractional detachment.

Keywords

• Proliferative Diabetic Retinopathy; Tractional Retinal Detachment; Vitrectomy; Pegaptanib; Macugen; Dexamethasone; Ozurdex; 27 Gauge; Bimanual Surgery; Chandelier; Valved Cannula; Microscope Integrated Optical Coherence Tomography