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Diabetic Vitrectomy Update

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Diabetic Renal-Retinal Syndrome
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Abstract

There have been considerable recent advances in vitrectomy tools and techniques for treating the complications of diabetic retinopathy. It is essential to recognize that to a substantial extent, a diabetic patient requiring vitrectomy indicates a failure of the diabetic screening process, patient education, medical management, retinopathy screening, and/or laser treatment for diabetic retinopathy. Early detection of clinically significant macular edema and intervention with focal laser is a remarkable success story as is pan-retinal photocoagulation for proliferative retinopathy. Prevention of retinopathy is better for the patient than laser treatment, which is, in turn, far less invasive than vitrectomy.

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References

  1. Chang S. Multifunction endolaser probe. Am J Ophthalmol 1992; 114: 648–649.

    PubMed  CAS  Google Scholar 

  2. Charles S. Endophotocoagulation. In: Little H (ed), Diabetic Retinopathy, Chapter 26. Thieme-Stratton, Inc, New York, 1983

    Google Scholar 

  3. Charles S. Endophotocoagulation. Ocutome/Fragmatome Newsletter 1980 (September); 5(3): 1.

    Google Scholar 

  4. Charles S. Endophotocoagulation. Ophthalmic Laser Therapy 1987; 2(1): 5–12.

    Google Scholar 

  5. Charles S. Endophotocoagulation. Ophthalmology Times 1979 (September): 68–69.

    Google Scholar 

  6. Charles S. Endophotocoagulation. Retina 1981; 1(2): 117–120.

    Article  PubMed  CAS  Google Scholar 

  7. Charles S. Epiretinal membranes: delamination hailed as an improved therapy. Ophthalmology Times 1982 (November 1); 7(16): 52.

    Google Scholar 

  8. Charles S. Pars plana vitrectomy for traction retinal detachments. In: Little H (ed), Diabetic Retinopathy, Chapter 25. Thieme-Stratton, Inc, New York, 1983.

    Google Scholar 

  9. McCuen BW II, Hickingbotham D. A fiberoptic diathermy tissue manipulator for use in vitreous surgery. Am J Ophthalmol 1984; 98: 803–804.

    PubMed  Google Scholar 

  10. Charles S, White J. Dennison C, Eichenbaum D. Bimanual, bipolar intraocular diathermy. Am J Ophthalmol 1976 (January); 81(1): 101–102.

    PubMed  CAS  Google Scholar 

  11. Charles S. Four Papers: Intravenous Fluorescein for Anterior Segment Microsurgery; Bipolar Bimanual Diathermy; Chin Switch; Ocutome. Current Concepts in Cataract Surgery, Selected Proceedings of the Fifth Biennial Cataract Surgical Congress, Jared Emery, Editor, C.V. Mosby Company, 1978.

    Google Scholar 

  12. Charles S, Wang C. Linear suction control system. Ocutome/Fragmatome Newsletter 1979 (September); 4(3): 1.

    Google Scholar 

  13. Charles S. Vitrectomy for retinal detachment. Trans Ophthal Soc UK 1980; 100(4): 542–549.

    PubMed  CAS  Google Scholar 

  14. Charles S. Clinical applications of vitreo-retinal surgery — the Ocutome system. Highlights of Ophthalmology Monthly Letter (Mini-Highlights) 1980; XVI(Chapter 4): 178–216.

    Google Scholar 

  15. Charles S, Wang C. A linear suction control for the vitreous cutter (Ocutome). Arch Ophthal 1981; 99: 1613.

    Article  PubMed  CAS  Google Scholar 

  16. Charles S. Illuminated intraocular foreign body forceps for vitreous surgery. Arch Ophthal 1981; 99: 1399.

    Article  PubMed  CAS  Google Scholar 

  17. Charles S. Bipolar bimanual diathermy (letter). Arch Ophthal 1981; 99; 1868.

    Article  PubMed  CAS  Google Scholar 

  18. Charles S, Flinn C. The natural history of diabetic extramacular traction retinal detachment. Arch Ophthal. 1981; 99: 66–68.

    Article  PubMed  CAS  Google Scholar 

  19. Charles S. Vitreous Microsurgery. Williams & Wilkins Company, Baltimore, 1981.

    Google Scholar 

  20. Charles S, Wang C. Pneumatic intraocular microscissors. Ophthal Digest 1982 (March): 6.

    Google Scholar 

  21. Charles S. Diabetic retinopathy. Ophthalmology Times 1982 (June 1).

    Google Scholar 

  22. Charles S. Epiretinal membranes: delamination hailed as an improved therapy. Ophthalmology Times 1982 (November 1); 7(16): 52.

    Google Scholar 

  23. Charles S. Pars plana vitrectomy for traction retinal detachments. In: Little H (ed), Diabetic Retinopathy, Chapter 25. Thieme-Stratton, Inc, New York, 1983.

    Google Scholar 

  24. Charles S. Endophotocoagulation. In: Little H (ed), Diabetic Retinopathy, Chapter 26. Thieme-Stratton, Inc., New York, 1983.

    Google Scholar 

  25. Wang CCT, Charles S. Microsurgical instrumentation for vitrectomy, Part 1. Journal of Clinical Engineering 1983 (October–December); 8(4), 321–328.

    Google Scholar 

  26. Charles S. The role of intraocular lenses in complex cases of retinal detachment. Personal interview with Boyd B (ed), Highlights of Ophthalmology, 1985.

    Google Scholar 

  27. Charles S. The barrier concept. In: Hoffer KJ (ed), Secondary Lens Implantation.

    Google Scholar 

  28. Charles S. Pars plana vitrectomy for traction retinal detachments. In: Friedman ER, L’Esperance Jr FA (eds), Diabetic Renal-Retinal Syndrome 3 — Therapy, Grune & Stratton, Inc, Orlando, Florida, 1986, pp 283–295.

    Google Scholar 

  29. Charles S. Outpatient vitreoretinal surgery. Outlook, Newsletter of the Outpatient Ophthalmic Surgery Society 1986 (Fall).

    Google Scholar 

  30. Blacharski P, Charles S. Thrombin infusion to control bleeding during vitrectomy for Stage V retinopathy of prematurity. Archives of Ophthalmology 1987 (February); 105: 203–205.

    Article  PubMed  CAS  Google Scholar 

  31. Charles S. Vitreous Microsurgery, Second Edition. Williams & Wilkins, Baltimore, 1987.

    Google Scholar 

  32. Charles S. Laser Endophotocoagulation. In: Gitter K, Schatz H, Yannuzzi L, McDonald R (eds), Laser Photocoagulation of Retinal Disease, Chapter 6. Pacific Medical Press, San Francisco, California, 1988.

    Google Scholar 

  33. Charles S. Management of Epiretinal Membranes. Ophthalmic Practice 1988 (December); 6(4): 158, 178.

    Google Scholar 

  34. Charles S. Principles and techniques of vitreous surgery. In: Ryan S, Glaser B, Michels R (eds), Retina, Volume III, Chapter 124. C.V. Mosby Company, St. Louis, Missouri, February 1989.

    Google Scholar 

  35. Runge P, Charles S. New Instrumentation and Pars Plana Vitrectomy Techniques. In: Ai E, Freeman WR (guest editors), Ophthalmology Clinics of North America, Vol. 3, No. 3, September 1990, pp 517–531.

    Google Scholar 

  36. Charles S. Vitreoretinal technology for the 90’s. In: Fuller DG (ed), Vitreoretinal Surgery and Technology Newsletter. May/June 1991

    Google Scholar 

  37. Charles S. Posterior segment vitrectomy: an overview of indications. In: Wilkinson CP (ed), Consultant for AAO 1991 Focal Points, Clinical Modules for Ophthalmologists, Volume IX, Module 4. San Francisco, California.

    Google Scholar 

  38. Varley M, Charles S. Lasers in vitreoretinal surgery. Ophthalmic Practice 1991 (June); 9(3): 118–122.

    Google Scholar 

  39. Charles S. Vitreoretinal surgery: new outpatient options. In Morgan K (ed) The Outpatient Ophthalmic Surgery Society Journal, Vol. IV, Winter 1992.

    Google Scholar 

  40. Charles S. Periretinal Membranes: Techniques/Economics. Ocular Surgery News, SLACK Incorporated, Thorofare, New Jersey, March 15 & April 1, 1992.

    Google Scholar 

  41. Charles S. Lens Management in Vitreoretinal Surgery. Ocular Surgery News, SLACK Incorporated, Thorofare, New Jersey, November 15, 1992.

    Google Scholar 

  42. Charles S, Wood B. Vitreoretinal surgical techniques. In: Freeman WR (ed), Practical Atlas of Retinal Disease and Therapy. Raven Press, Ltd, New York, 1993, pp 243–266.

    Google Scholar 

  43. Charles S, Sullivan J. Management of the cataract patient with significant retinal disease. In: Lindstrom (ed), Current Opinion in Ophthalmology, vol. 4, no. 1, February 1993.

    Google Scholar 

  44. Charles S, Wong R. Decision Making in Vitreoretinal Surgery. Ocular Surgery News, SLACK Incorporated, Thorofare, New Jersey, Vol. 11, No. 10, May 15, 1993 & June 1, 1993.

    Google Scholar 

  45. Charles S, Jewart B. Management of the cataract patient with significant retinal disease (update of 1993 article). Current Opinion in Ophthalmology 1994; 5(1): 101–104.

    Article  Google Scholar 

  46. Charles S. Simplified Epiretinal Membrane Dissection, Endocapsular Lensectomy and Subretinal Fluid Removal Options. Guest Editor for Vitreoretinal Surgery and Technology Newsletter, Vol 8, No. 2, Spring/Summer 1996.

    Google Scholar 

  47. Charles S, Small K. Pathogenesis and Repair of Retinal Detachment. In: Easty DL, Sparrow JM (eds), Oxford Textbook of Ophthalmology, Volume 2, Chapter 3.19. Oxford Medical Publications, Oxford University Press Inc, New York, 1999, pp 1261–1272.

    Google Scholar 

  48. Leonard B, Charles S. Diabetic Retinopathy. In: Silverstone B, Lang MA, Rosenthal, B, Faye EE (eds), The Lighthouse Handbook on Vision Impairment and Vision Rehabilitation, Volume 1, Chapter 6. Oxford University Press, New York, New York, 2000, pp 103–127.

    Google Scholar 

  49. Zocchi K, Charles S. Management of Cataract in the Diabetic Patient. In: Buratto L., Osher RH, Masket S (eds), Cataract Surgery in Complicated Cases, Chapter 16. Slack, Inc, Thorofare, New Jersey, 2000.

    Google Scholar 

  50. Gandorfer A, Messmer EM, Ulbig MW, Kampik A. Resolution of diabetic macular edema after surgical removal of the posterior hyaloid and the inner limiting membrane. Retina 2000; 20: 126–133.

    Article  PubMed  CAS  Google Scholar 

  51. Jumper JM, Embabi SN, Toth CA, McCuen BW, II, Hatchell DL. Electron immunocytochemical analysis of posterior hyaloid associated with diabetic macular edema. Retina 2000; 20: 63–68.

    Article  PubMed  CAS  Google Scholar 

  52. Lewis H, Abrams GW, Blumenkranz MS, Campo RV. Vitrectomy for diabetic macular traction and edema associated with posterior hyaloidal traction. Ophthalmology 1992; 99: 753–759.

    PubMed  CAS  Google Scholar 

  53. Pendergast SD. Vitrectomy for diabetic macular edema associated with a taut premacular posterior hyaloid. Curr Opin Ophthalmol 1998; 9: 71–75.

    Article  PubMed  CAS  Google Scholar 

  54. Sakuraba T, Suzuki Y, Mizutani H, Nakazawa M. Visual improvement after removal of submacular exudates in patients with diabetic maculopathy [in process citation]. Ophthalmic Surg Lasers 2000; 31: 287–291.

    PubMed  CAS  Google Scholar 

  55. Takagi H, Otani A, Kiryu J, Ogura Y. New surgical approach for removing massive foveal hard exudates in diabetic macular edema. Ophthalmology 1999; 106: 249–256; discussion 256–247.

    Article  PubMed  CAS  Google Scholar 

  56. Yang CM. Surgical treatment for severe diabetic macular edema with massive hard exudates. Retina 2000; 20: 121–125.

    Article  PubMed  CAS  Google Scholar 

  57. Wu WC, Lin JC. The experience to use a modified en bloc excision technique in vitrectomy for diabetic traction retinal detachment. Kaohsiung J Med Sci 1999; 15: 461–467.

    PubMed  CAS  Google Scholar 

  58. Han DP, Murphy ML, Mieler WF. A modified en bloc excision technique during vitrectomy for diabetic traction retinal detachment. Results and complications. Ophthalmology 1994; 101: 803–808.

    CAS  Google Scholar 

  59. Williams DF, Williams GA, Hartz A, Mieler WF, Abrams GW, Aaberg TM. Results of vitrectomy for diabetic traction retinal detachments using the en bloc excision technique. Ophthalmology 1989; 96: 752–758.

    PubMed  CAS  Google Scholar 

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© 2002 Springer Science+Business Media Dordrecht

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Charles, S.T. (2002). Diabetic Vitrectomy Update. In: Friedman, E.A., L’Esperance, F.A. (eds) Diabetic Renal-Retinal Syndrome. Springer, Dordrecht. https://doi.org/10.1007/978-94-010-0614-9_6

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  • DOI: https://doi.org/10.1007/978-94-010-0614-9_6

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-3930-7

  • Online ISBN: 978-94-010-0614-9

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