Combined vitrectomy and scleral resection in the therapy of massive epiretinal fibrous membranes due to diabetic retinopathy.
Between December 1981 and June 1984 scleral resection was performed in 35 patients suffering from end-stage proliferative diabetic retinopathy with traction retinal detachment involving the macula. In all cases, vitrectomy, membranectomy, segmentation, and delamination proved to be insufficient to mobilize the "shrunken" retina. In 22 cases (63%), retinal detachment was at least partially flattened in the area of the posterior pole of the eye. Visual acuity thus achieved ranged between 6/24 and 1/60, corresponding to an improvement of visual acuity compared with the preoperative situation in about one-third of the cases successfully treated (8 eyes).
D003930:Diabetic Retinopathy / Q000150:complications*; D006801:Humans; D008566:Membranes / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D012160:Retina / Q000473:pathology / Q000601:surgery; D012164:Retinal Diseases / Q000209:etiology* / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D012590:Sclera / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy