Treatment of Florid Diabetic Retinopathy by Panretinal Photocoagulation and
Early Vitrectomy
Kalvodová B., Reslová D., Valešová L., Gajdošíková Z., Doležalová J.,
Oční klinika VFN a 1. LF UK, Praha, přednosta doc. MUDr. M. Filipec, CSc. |
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Summary:
Florid diabetic retinopathy (FDR) is a bilateral form of very severe ischemic
retinopathy of younger-onset insulin-dependent diabetics (IDDM) characterized
by rapid progression, high risk of vitreous hemorrhage and blindness. Functional
prognosis of FDR depends on 1. early determination of diagnosis according to
biomicroscopical and fluoroangiographical examinations, 2. immediate extensi-
ve panretinal photocoagulation (PRF), 3. early pars plana vitrectomy (PPV) for
vitreous hemorrhage or active fibrovascular proliferations, 4. satisfactory com-
pensation of IDDM and education of patients. In the study we observed general
risk factors of FDR and retrospectivally evaluated anatomic and functional
outcomes of FDR treatment of 9 patients (18 eyes, 6 males and 3 females) with an
age from 17 to 39 year (range 26.3 year) in the period of determination of diagnosis
of FDR, treated in the period January 1992 - February 1999 by extensive PRF (16
eyes) and PPV (11 eyes). This paper suggests that despite the severity of FDR,
extensive PRF and PPV can essentially slow the progression toward blindness.
Key words:
florid diabetic retinopathy, panretinal photocoagulation, vitrectomy
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