Diabetic Retinopathy & Medical Retina - aioseducation

More documents

Recommendations

Info

Diabetic Retinopathy and Medical Retina Free Papers in vitreous haemorrhage only by pull of vitreous, in other words primary changes of partial detachment in vitreous form a causative factor for vitreous haemorrhage. However bleeding in the vitreous cavity adds both fibro blasts and erythroblasts to the vitreous tissue and this alters the composition of vitreous tissue initiating the process of stronger vitreous contraction resulting into recurrent haemorrahge, TRD and CRD. However course of the disease can be favourably modified with intra vitreal anti VEGF drug injections. Based on our observations we attempted to modify and expand the existing ETDRS classification with inclusion of vitreopathy as a separate class. by “Diabetic Retino- The term “Diabetic Retinopathy” may be replaced vitreopathy” and may be classified as below. Dubey’s classification of diabetic retino-vitreopathy 1. Non-proliferative diabetic retinopathy (mild/moderate/severe/very severe) 2. Proliferative diabetic retinopathy 3. Diabetic maculopathy ( focal, diffuse, ischemic, mixed) 4. Clinical diabetic vitreopathy i) Surgical vitreopathy ii) Intermediate vitreopathy iii) Non-surgical vitreopathy Surgical vitreopathy i) Posterior pole TRD ii) Superior half TRD iii) Tractiional macular edema without macular ischemia iv) Premacular fibrosis v) Recurrent vitreous hemorrhages in laser regressed PDR vi) Secondary rhegmatogenous retinal detachment vii) Optic disc traction viii) Macular heterotropia ix) Retinal wrinkling x) Dense premacular hemorrhage Intermediate vitreopathy i) Florid neovascularization with/without any of the above indications ii) Anterior segment neovascularization 863
70th AIOC Proceedings, Cochin 2012 iii) Neovascularization non –responsive to laser with/without any of the above indications iv) Large non resolving vitreous bleeding in laser-treated or untreated PDR. Non-surgical vitreopathy i) Inferior peripheral TRD ii) Recurrent vitreous hemorrhages in active PDR iii) Tractional macular edema with ischemia. iv) Macular schisis. In conclusion a new classification of diabetic retinopathy is presented which includes all information from recent understanding of systemic disease, new investigative tools, new drugs and new surgical techniques. 23G Vs 20G in the Management of Advanced PDR with and without the Use of Intravitreal Avastin Dr. Saraswathy Karnati, Dr. Agarwal Amar, Dr. Soosan Jacob The study is aimed to analyze and compare the surgical outcome and complications of advanced proliferative diabetic retinopathy including tractional retinal detachment with the MIVS and the conventional vitrectomy. Subgroup analysis was done to see the influence of intravitreal avastin on the overall surgical effect. Each group was subdivided into group A in which intravitreal avastin was used and group B in which intravitreal avastin was not used. Design: Retrospective, comparative, interventional case series in a tertiary care hospital. MATERIALS AND METHODS Patients were grouped into Group I: 25 Patients who underwent 23G vitrectomy and Group II: 20 Patients who underwent 20G vitrectomy Subgroup A: with intravitreal avastin Subgroup B: without intravitreal avastin 864
Page 1 and 2: Diabetic Ratinopathy and Medical Re
Page 4 and 5: Diabetic Retinopathy and Medical Re

Diabetic Retinopathy & Medical Retina - aioseducation

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?