Advanced diabetic retinopathy
     
    Extensive fibrosis in the posterior poles of two eyes with advanced diabetic retinopathy. The fibrosis is typically
    seen along the arcades of the blood vessels.

    There are vitreoretinal fibrosis arising from the optic disc and the arterial aracades. The blood vessels within 
    the fibrosis may be devoid of blood (ghost blood vessels). Lood for treactional retinal detachment with or 
    without macular involvement.

    Look for:

  • photocoagulation scars
  • pre-retinal or vitreous haemorrhages from traction on the blood vessels.
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    Questions:

    1. What are the indications for vitrectomy in dibaetic eye?

    2. How would you manage tract retinal detachment?


     

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