Vitrectomy for Chronic Diabetic Retinopathy
Dr. Maneesh Bapaye presents a vitrectomy procedure in a 42 year old male patient with a history of Type 1 diabetes. 20G three port pars plana vitrectomy and base excision is performed. A scleral buckle is placed to support vitreous base.
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Comments (9)
I am from Nicaragua AC. I would like to know your opinion about ocular manifaestation of dengue. Iam sorry, I would like to spend some picture your e mail. I am sorry, abuse excuse. Beltrán
Hi Beltran, Thank you for compliments. BCVA in this eye 4 weeks post op was 3/60. Pt was mobile and could perform all daily activities without any help.
I would like to know what the funtional outcome of this surgery. By the way excellent procedure
Thank you for your kind comment. Its ideal to use healon or viscoat. But I have used methylcellulose due to constraints. It tends to flow out of membrane but serves the purpose of achieving plane between membrane & retinal tissue.
wonderful surgery what is the viscoelastic used?viscoat/methylcellulose
Thanks Diego. Maneesh
Nice Surgery, Maneesh.
Dear Dr.Zambrano, Thank you for your comment. Encirclage was put applied to support the vitreous base as the patient was phakic. Removal of vitrous base is usually incomplete in such patient. Encirclage reduces chances of rhegmatogenous RD at latter date. I am aware of increased possibility of anterior segment ischemia in diabetics. One has to be careful not to tighten the buckle excessively. Regards Maneesh
I'm really not in favor of buckling PDR, and less with this kind of ischemy. Would like to know your opinion Maneesh, greetings Mario Zambrano