45 yr of male presented with Proliferative diabetic retinopathy with Vitreomacular traction. What can be treatment?
Any vitreomacular traction in proliferative diabetic retinopathy has to be removed by vitrectomy first followed by endophotocoagulation. Treatment Of Diabetic Retinopathy MILD NPDR- Control Blood Sugar. Moderate NPDR- Control Blood Sugar. Severe NPDR- Control Blood Sugar. Very Severe NPDR- Control Blood Sugar, Regular follow-up, Laser photocoagulation recommended in high-risk patients. (One eye lost due to PDR, poor systemic control, nephropathy, poor follow-up expected.) PDR with Neovascularization of Disc (NVD): Always do Panretinal photocoagulation. Clinically significant Macular edema: New treatment strategy is to decrease the edema with Anti VEGF, then do Macular grid laser if necessary, can use intravitreal steroids, like Ozurodex or Triamcinolone Acetate. Vitreomacular traction: Do vitrectomy first followed by the endophotocoagulation. Lasers used in PRP: Argon blue & Ruby.
Pan Retinal Photocoagulation
Vitrectomy with endophotocoagulation
Ozurodex
Anti VEGF
Diagnosis and Treatment of Retina