Diabetic vitrectomy
Diabetic retinopathy is the leading cause of blindness among the working population in the developed world. The prevalence of diabetic retinopathy increases with duration of diabetes,1 and nearly 100 percent of patients with Type I diabetes and more than 60 percent of those with Type II have some signs of DR after 20 years. A number of approaches have proved to be useful in the treatment of DR, such as laser photocoagulation and tight systemic control of blood glucose, lipids, cholesterol and blood pressure.2,3 Unfortunately, in many patients the retinopathy progresses in spite of the best efforts on the part of the patient and of the ophthalmologist. Many such eyes may be helped by vitrectomy surgery, however.4 About 5 percent of patients with proliferative diabetic retinopathy, as well as carefully selected patients with diabetic maculopathy, require pars plana vitrectomy, despite ostensibly adequate laser treatment and good glycemic and hypertensive control.Epretinal membrane removal surgery
The only way to treat an epiretinal membrane is by having an operation called a vitrectomy. Eye drops or glasses are not effective. During the vitrectomy, the surgeon makes tiny cuts in your eye and removes the vitreous from inside. They then grasp and gently peel away the epiretinal membrane from the retina.Diabetic retinopathy treatment
For diabetic retinopathy that is threatening or affecting your sight, the main treatments are: Laser treatment – to treat the growth of new blood vessels at the back of the eye (retina) in cases of proliferative diabetic retinopathy, and to stabilise some cases of maculopathyeye injections – to treat severe maculopathy that's threatening your sighteye surgery – to remove blood or scar tissue from the eye if laser treatment isn't possible because retinopathy is too advancedLaser treatmentLaser treatment is used to treat new blood vessels at the back of the eyes in the advanced stages of diabetic retinopathy. This is done because the new blood vessels tend to be very weak and often cause bleeding into the eye.Treatment can help stabilise the changes in your eyes caused by your diabetes and stop your vision getting any worse, although it won't usually improve your sight.Laser treatment:involves shining a laser into your eyes – you'll be given local anaesthetic drops to numb you
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