Retina surgeons should learn a variety of techniques to treat proliferative diabetic retinopathy (PDR) so they can select which one to use on a case-by-case basis, recommended Andre V. Gomes, MD, chief of the Retina Service, OSC Institute, Sao Paulo, Brazil.
Dr. Gomes addressed surgical approaches for PDR and the use of scissors versus cutters for PDR surgery.
The key steps of PDR surgery include:
" clearing the media
" removing fibrotic tissue and residual traction
" minimizing bleeding
" avoiding iatrogenic breaks and retinotomies
" reattaching the retina
" performing ERM and/or ILM peeling
" applying panretinal photocoagulation
" choosing a tamponade
"Patients should benefit from surgery both anatomically and functionally," he said. "They want to see better."
Andre V. Gomes, MD,
E: [email protected]
This article was adapted from Dr. Gomes' presentation during Retina Subspecialty Day at the 2017 meeting of the American Academy of Ophthalmology. Dr. Gomes has no relevant financial disclosures.