Postoperative Complications of Pars Plana Vitrectomy for Diabetic Retinal Disease.

Gary L Yau, Paolo S Silva, Paul G Arrigg, Jennifer K Sun

Journal: Seminars in ophthalmology 2018;33(1):126-133

PMID: 29215958

Abstract

Despite recent advances in the medical management of diabetic retinal disease, there remain established indications for vitreoretinal surgery in the treatment of severe proliferative diabetic retinopathy. These include non-clearing vitreous hemorrhage and tractional retinal detachment. Advances in surgical instrumentation, technique, and experience have led to improved visual outcomes, as well as a corresponding decrease in the incidence of postoperative complications. However, the presence of systemic and ocular factors in diabetic patients increases the risk of adverse events compared to non-diabetic individuals. This review will focus on the most important postoperative complications following pars plana vitrectomy, with specific considerations for the diabetic patient.

Address: a Beetham Eye Institute , Joslin Diabetes Center , Boston , MA , USA.; b Department of Ophthalmology , Harvard Medical School , Boston , MA , USA.

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