How do you approach the timing of vitrectomy in non-clearing vitreous hemorrhage secondary to proliferative diabetic retinopathy?
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How long do you wait before performing a PPV in a patient with PDR who is PRP naive and presents with vitreous hemorrhage?
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2 Answers
Mednet MemberInvited Expert
Ophthalmology · University of Michigan
Answered on · Updated on
In patients with regressed PDR following complete PRP, the timing of vitrectomy for non-clearing vitreous hemorrhage depends on the patient's overall visual needs, fellow eye status, etc. In such patients, assuming the ultrasound shows the retina to be attached, I consider the vitrectomy to be a non...
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Mednet MemberInvited Expert
Ophthalmology · University of Colorado Anschutz Medical Campus
Answered on
If a patient is fully treated with laser and then develops vitreous hemorrhage without traction detachment, there is no reason to delay vitrectomy. At this point, VEGF inhibition is not really the issue; instead, the hemorrhage is most likely related to traction from the posterior hyaloid on foci of...
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