title: Surgical treatment for diabetic vitreoretinal diseases: a review.
abstract: Over the past four decades, advancements in surgical instrumentations and techniques have significantly improved the postoperative anatomical and visual outcomes of patients with various diabetic vitreoretinal diseases. In particular, surgical interventions for previously serious and untreatable blinding proliferative diabetic retinopathy can now be performed, with much better results. The advents of micro incisional vitrectomy system with better visualization system like binocular indirect ophthalmomicroscope and state-of-the-art instrumentation revolutionized the era of diabetic vitrectomy. High-speed vitrectors, finer instruments, chromo-assisted vitrectomy and use of anti-vascular endothelial growth factors not only change the paradigm but also help achieve much better outcome after diabetic vitrectomies. In this review, we will discuss and summarize the indications, surgical considerations, surgical techniques, potential complications and outcomes of vitreoretinal surgery for diabetic eye diseases.
authors.affiliation: Sankara Nethralaya (Main Campus), Chennai, Tamil Nadu, India.
authors.forename: Tarun
authors.initials: T
authors.lastname: Sharma
authors.affiliation: Hong Kong Eye Hospital, Kowloon, Hong Kong.
authors.forename: Angie
authors.initials: A
authors.lastname: Fong
authors.affiliation: 2010 Eye & Cataract Centre, TsimShaTsui, Kowloon, Hong Kong.
authors.forename: Timothy Y
authors.initials: TY
authors.lastname: Lai
authors.affiliation: Dennis Lam & Partners Eye Center, Central, Hong Kong.
authors.forename: Vincent
authors.initials: V
authors.lastname: Lee
authors.affiliation: C-MER (Shenzhen) Dennis Lam Eye Hospital, Shenzhen, Guangdong, China.
authors.forename: Sudipta
authors.initials: S
authors.lastname: Das
authors.affiliation: Dennis Lam & Partners Eye Center, Central, Hong Kong.|C-MER (Shenzhen) Dennis Lam Eye Hospital, Shenzhen, Guangdong, China.
authors.forename: Dennis
authors.initials: D
authors.lastname: Lam
mesh_terms: D003930:Diabetic Retinopathy / Q000601:surgery*; D005128:Eye Diseases / Q000601:surgery*; D006801:Humans; D057586:Vitreoretinal Surgery / Q000379:methods*; D014822:Vitreous Body / Q000601:surgery*
keywords: diabetic macular edema; diabetic retinopathy; proliferative diabetic retinopathy; retinal detachment; vitreoretinal surgery