Research progress of surgery for proliferative diabetic retinopathy_Chinese Journal of Ocular Fundus Diseases

Authors：

Pan Yue , Li Wenbo ,  Hu Bojie

Tianjin Key Laboratory of Retinal Functions and Diseases, Tianjin Branch of National Clinical Research Center for Ocular Disease, Eye Institute and School of Optometry, Tianjin Medical University Eye Hospital, Tianjin 300384, China;

Corresponding author：

Hu Bojie, Email: hbj151617@163.com

Keywords：

Proliferative diabetic retinopathy; Pars plana vitrectomy; Diabetic macular edema; Review

DOI：

10.3760/cma.j.cn511434-20240605-00223

Video：

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Proliferative diabetic retinopathy is a serious complication of diabetes in the eye. In recent years, with the development of surgical equipment and fundus examination technology, surgical treatment based on vitrectomy has made more new progress in indications, combined application and surgical evaluation. Surgical evaluation based on imaging can continuously monitor patients' eye conditions before, during and after surgery, and clinicians can choose different surgical plans and timing for different patients, which can help reduce patients' pain and achieve better visual outcomes.

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1. Pollack JS, Sabherwal N. Small gauge vitrectomy: operative techniques[J]. Curr Opin Ophthalmol, 2019, 30(3): 159-164. DOI: 10.1097/ICU.0000000000000568.
2. Mohamed S, Claes C, Tsang CW. Review of small gauge vitrectomy: progress and innovations[J/OL]. J Ophthalmol, 2017, 2017: 6285869[2017-05-10]. https://pubmed.ncbi.nlm.nih.gov/28589037/. DOI: 10.1155/2017/6285869.
3. Chen SN, Chen SJ, Wu TT, et al. Refining vitrectomy for proliferative diabetic retinopathy[J]. Graefe’s Arch Clin Exp Ophthalmol, 2023, 261(12): 3659-3670. DOI: 10.1007/s00417-023-06134-w.
4. Charles S, Ho AC, Dugel PU, et al. Clinical comparison of 27-gauge and 23-gauge instruments on the outcomes of pars plana vitrectomy surgery for the treatment of vitreoretinal diseases[J]. Curr Opin Ophthalmol, 2020, 31(3): 185-191. DOI: 10.1097/ICU.0000000000000659.
5. Chen PL, Chen YT, Chen SN. Comparison of 27-gauge and 25-gauge vitrectomy in the management of tractional retinal detachment secondary to proliferative diabetic retinopathy[J/OL]. PLoS One, 2021, 16(3): e0249139[2021-04-25]. https://pubmed.ncbi.nlm.nih.gov/33765074/. DOI: 10.1371/journal.pone.0249139.
6. 白石, 韩道新. 27G+/25G+微创玻璃体切割手术治疗玻璃体视网膜疾病的比较[J]. 国际眼科杂志, 2023, 23(5): 856-859. DOI: 10.3980/j.issn.1672-5123.Bai S, Han DX. Comparison of 25-gauge+ and 27-gauge+micro- invasive vitrectomy for vitreoretinal diseases[J]. Int Eye Sci, 2023, 23(5): 856-859. DOI: 10.3980/j.issn.1672-5123.
7. Khan MA, Kuley A, Riemann CD, et al. Long-term visual outcomes and safety profile of 27-gauge pars plana vitrectomy for posterior segment disease[J]. Ophthalmology, 2018, 125(3): 423-431. DOI: 10.1016/j.ophtha.2017.09.013.
8. Tieger MG, Rodriguez M, Wang JC, et al. Impact of contact versus non-contact wide-angle viewing systems on outcomes of primary retinal detachment repair (PRO study report number 5)[J]. Br J Ophthalmol, 2021, 105(3): 410-413. DOI: 10.1136/bjophthalmol-2020-315948.
9. de Oliveira PR, Berger AR, Chow DR. Vitreoretinal instruments: vitrectomy cutters, endoillumination and wide-angle viewing systems[J/OL]. Int J Retina Vitreous, 2016, 2: 28[2016-11-05]. https://pubmed.ncbi.nlm.nih.gov/27980854/. DOI: 10.1186/s40942-016-0052-9.
10. Ribeiro L, Oliveira J, Kuroiwa D, et al. Advances in vitreoretinal surgery[J]. J Clin Med, 2022, 11(21): 6428[2022-10-30]. https://pubmed.ncbi.nlm.nih.gov/36362657/. DOI: 10.3390/jcm11216428.
11. La Spina C, Del Turco C, Bogetto C, et al. Wide-angle 3D viewing system with valved trocar applied to chandelier-assisted scleral buckling[J]. Eur J Ophthalmol, 2021, 31(2): 804-806. DOI: 10.1177/1120672120945091.
12. Zhang X, Zhu D, Li W, et al. Enhancing surgical precision and efficiency: a study and comparison of a three-dimensional surgical video system in proliferative diabetic retinopathy surgery[J/OL]. Front Med (Lausanne), 2023, 10: 1246936[2023-10-02]. https://pubmed.ncbi.nlm.nih.gov/37849491/. DOI: 10.3389/fmed.2023.1246936.
13. 中华医学会眼科学分会眼底病学组, 中国医师协会眼科医师分会眼底病学组. 我国糖尿病视网膜病变临床诊疗指南(2022年)[J]. 中华眼底病杂志, 2023, 39(2): 99-124. DOI: 10.3760/cma.j.cn511434-20230110-00018.Fundus Disease Group of Chinese Ophthalmological Society, Fundus Disease Group of Chinese Ophthalmologist Association. Diabetic retinopathy clinical guidelines in China (2022)[J]. Chin J Ocul Fundus Dis, 2023, 39(2): 99-124. DOI: 10.3760/cma.j.cn511434-20230110-00018.
14. Berrocal MH, Acaba-Berrocal L, Acaba AM. Long-term outcomes of same patient eyes treated with pars plana vitrectomy in one eye and conventional treatment in the other for complications of proliferative diabetic retinopathy[J/OL]. J Clin Med, 2022, 11(18): 5399[2022-09-14]. https://pubmed.ncbi.nlm.nih.gov/36143049/. DOI: 10.3390/jcm11185399.
15. Berrocal MH, Acaba-Berrocal L. Early pars plana vitrectomy for proliferative diabetic retinopathy: update and review of current literature[J]. Curr Opin Ophthalmol, 2021, 32(3): 203-208. DOI: 10.1097/ICU.0000000000000760.
16. Lin J, Chang JS, Yannuzzi NA, et al. Cost evaluation of early vitrectomy versus panretinal photocoagulation and intravitreal ranibizumab for proliferative diabetic retinopathy[J]. Ophthalmology, 2018, 125(9): 1393-1400. DOI: 10.1016/j.ophtha.2018.02.038.
17. Tan SZ, Steel DH, Stanzel BV, et al. Safety and effectiveness of pre-emptive diabetic vitrectomy in patients with severe, non-fibrotic retinal neovascularisation despite panretinal photocoagulation[J]. Eye (Lond), 2023, 37(8): 1553-1557. DOI: 10.1038/s41433-022-02167-3.
18. Ożóg MK, Nowak-Wąs M, Rokicki W. Pathophysiology and clinical aspects of epiretinal membrane-review[J/OL]. Front Med (Lausanne), 2023, 10: 1121270[2023-08-10]. https://pubmed.ncbi.nlm.nih.gov/37636571/. DOI: 10.3389/fmed.2023.1121270.
19. Wu RH, Xu MN, Lin K, et al. Inner limiting membrane peeling prevents secondary epiretinal membrane after vitrectomy for proliferative diabetic retinopathy[J]. Int J Ophthalmol, 2022, 15(9): 1496-1501. DOI: 10.18240/ijo.2022.09.13.
20. Rush RB, Del Valle Penella A, Reinauer RM, et al. Internal limiting membrane peeling during vitrectomy for diabetic vitreous hemorrhage: a randomized clinical trial[J]. Retina, 2021, 41(5): 1118-1126. DOI: 10.1097/IAE.0000000000002976.
21. Rush RB, Gomez PL, Rush SW, et al. Internal limiting membrane peeling in patients undergoing vitrectomy for tractional retinal detachment secondary to diabetic retionpathy[J]. Retina, 2023, 43(8): 1282-1290. DOI: 10.1097/IAE.0000000000003812.
22. Jun SY, Hwang DD. Effect of vitrectomy with silicone oil tamponade and internal limiting membrane peeling on eyes with proliferative diabetic retinopathy[J/OL]. Sci Rep, 2022, 12(1): 8076[2022-05-16]. https://pubmed.ncbi.nlm.nih.gov/35577870/. DOI: 10.1038/s41598-022-12113-8.
23. Romano MR, Allegrini D, Della Guardia C, et al. Vitreous and intraretinal macular changes in diabetic macular edema with and without tractional components[J]. Graefe's Arch Clin Exp Ophthalmol, 2019, 257(1): 1-8. DOI: 10.1007/s00417-018-4173-8.
24. Abdel Hadi AM. Evaluation of vitrectomy with planned foveal detachment as surgical treatment for refractory diabetic macular edema with or without vitreomacular interface abnormality[J/OL]. J Ophthalmol, 2018, 2018: 9246384[2018-05-07]. https://pubmed.ncbi.nlm.nih.gov/29854429/. DOI: 10.1155/2018/9246384.
25. Rinaldi M, dell’Omo R, Morescalchi F, et al. ILM peeling in nontractional diabetic macular edema: review and metanalysis[J]. Int Ophthalmol, 2018, 38(6): 2709-2714. DOI: 10.1007/s10792-017-0761-6.
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