Rubeosis iridis after vitrectomy for diabetic retinopathy

Abstract

With current surgical techniques iris rubeosis is more commonly regressive than progressive after vitreous surgery in diabetic eyes.

Macular morphologic findings on optical coherence tomography after microincision vitrectomy for proliferative diabetic retinopathy

“…e, f The ELM and EZ are absent at the fovea, whereas the hyperreflective foci are delineated in the outer layers (arrowheads). The best-corrected VA is 0.15 ELM external limiting membrane, ERM epiretinal membrane, logMAR VA logarithm of the minimal angle of resolution visual acuity * P \ 0.01 vs. intact procedure, surgeons have often encountered severe intraand postoperative complications, which influence prognoses in eyes treated with 20-gauge vitrectomy for PDR [14][15][16]42]. Taken together, clinicians should systematically consider the prognostic factors including complications and macular morphological findings.…”

“…Vitrectomy also has been performed to treat neovascular complications due to PDR including vitreous hemorrhage, tractional retinal detachment, and traction maculopathy, either alone or combined with anti-VEGF therapy [8][9][10][11][12][13]. Vitrectomy dramatically improves the visual prognosis in patients with PDR, although surgeons have been concerned about the intraoperative and postoperative complications associated with 20-gauge vitrectomy [14][15][16]. Microincision vitrectomy surgery (MIVS), a major advance in this field [17][18][19], reduces the risks of iatrogenic retinal tears and simplifies removal of the proliferative tissues in PDR [20,21].…”

Neovascular Glaucoma – A Review

“…1 Surgical intervention like pars plana vitrectomy for PDR increases the incidence of rubeosis iridis to 8-9% and of NVG to 4-5%. 2 Risk of rubeosis iridis post vitrectomy in PDR increases with aphakia 2 , presence of rubeosis before vitrectomy 2 , and unrepaired retinal detachment present after vitrectomy. 3 On the other hand, intraocular silicone oil decreases the incidence of rubeosis iridis.…”

Surgery for Diabetic Retinopathy

“…If other diabetic complications are present, requiring vitreoretinal surgery, direct endolaser treatment to the ciliary processes can be applied to reduce aqueous humor production [36]. In severe cases instillation of liquid silicone can form a diffusion barrier between the retina and the anterior segment of the eye and may contribute to a stabilization of anterior segment neovascularization [37]. …”