Treatment of peripheral traction retinal detachment associated with proliferative diabetic retinopathy using modern laser technologies (case report)
Author: Oleg Sannikov (Russian Federation)
To present a clinical case and treatment results in peripheral traction retinal detachment associated with proliferative diabetic retinopathy using modern laser technologies without vitrectomy.
IRTC Eye Microsurgery Ekaterinburg Center, Ekaterinburg, Russia
A 26-year old female patient complained for floaters and a “curtain” in the upper-temporal quadrant of the right eye for one week. She had type I diabetes for 12 years. Clinical examination revealed proliferative diabetic retinopathy of both eyes, partial hemophthalmus, peripheral traction retinal detachment of the right eye. First, laser dissection of vitreoretinal traction which caused peripheral retinal detachment was performed using Tango Reflex YAG laser (Ellex). Then immediately barrier laser coagulation at the border of peripheral retinal detachment was performed. The third step included three sessions of panretinal laser coagulation (9 days, 1 month and 3 months after the start of treatment). Barrier and panretinal laser coagulation were performed using Navilas 577 S laser unit (OD OS, Germany).
Immediately after vitreoretinal traction dissection the height of retinal detachment decreased. In 9 days ophthalmoscopy showed attached retina, but ultrasound B-scan revealed flat retinal detachment. In 1 month complete attachment of the retina was marked which allowed panretinal laser coagulation in this area.
Modern laser equipment, such as Tango Reflex YAG laser, gives a possibility to dissect peripheral vitreoretinal adhesions at early stage (without rough fibrous tissue and neovascularization). This procedure with subsequent barrier and panretinal laser coagulation provides attaching of peripheral traction retinal detachment without vitreoretinal surgery.
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