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Approaches to the Repair of Diabetic Traction Retinal Detachments

  • Ophthalmologic Surgery (R Swamy and L Schocket, Section Editors)
  • Published:
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Abstract

Purpose of Review

To review the diagnosis, surgical evaluation, surgical techniques, and outcomes of vitrectomy for tractional retinal detachments (TRDs) in patients with diabetes.

Recent Findings

Tractional retinal detachment is the leading cause of blindness in patients with diabetes. They account for 40% of all vitrectomies in patients with proliferative diabetic retinopathy. The use of small gauge microincisional vitrectomy systems, enhanced visualization, anti-VEGF, and optimized instrumentation and surgical techniques have revolutionized the treatment and outcomes of TRD repair. Although anatomical and visual acuity outcomes of TRD repair have greatly improved over the past 4 decades, further research is needed to reduce post-operative complications and improve final visual acuity.

Summary

Proper preoperative planning is essential to minimize intraoperative complications of TRD repair. Small gauge instrumentation allows for precise and controlled fibrovascular membrane removal and relief of traction, providing excellent reattachment rates and limiting post-operative complications.

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Funding

The authors did not receive support from any organization for the submitted work.

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Authors and Affiliations

  1. Illinois Eye and Ear Infirmary, University of Illinois at Chicago, Chicago, IL, USA

    Luis Acaba-Berrocal

  2. Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Leonard M. Miller School of Medicine, Miami, FL, USA

    Audina M. Berrocal

  3. Drs. Berrocal and Associates, San Juan, Puerto Rico, USA

    Maria H. Berrocal

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  1. Luis Acaba-Berrocal
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  2. Audina M. Berrocal
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Correspondence to Audina M. Berrocal.

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Conflict of interest

AMB: Consultant for Alcon, DORC, Allergan, Bayer, Visionex, Oculus, AGTC, PROQR, Aerie, Regenxbio, and Novartis. MHB: Consultant for Alcon, Allergan. The following authors have no relevant financial disclosures: LAB.

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Acaba-Berrocal, L., Berrocal, A.M. & Berrocal, M.H. Approaches to the Repair of Diabetic Traction Retinal Detachments. Curr Surg Rep 10, 218–222 (2022). https://doi.org/10.1007/s40137-022-00329-6

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  • DOI: https://doi.org/10.1007/s40137-022-00329-6

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