1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2021 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
  4. Guest, stay home, stay safe, save the NHS. Stay up to date with information about keeping yourself and people around you safe here and GOV.UK: Coronavirus (COVID-19). Think you have symptoms? NHS 111 service is available here.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

Laser PRP

Discussion in 'Diabetic Retinopathy' started by Becks33, Sep 30, 2019.

  1. Becks33

    Becks33 · Well-Known Member

    Messages:
    69
    Likes Received:
    8
    Trophy Points:
    28
    Hi

    Has anyone ever had proliferative diabetic retinopathy where laser has not worked and what was your alternative treatments? My surgeon is talking about a vitrectomy but I though this was to remove blood?? Can anyone help xx
     
  2. Dark Horse

    Dark Horse · Well-Known Member

    Messages:
    1,634
    Likes Received:
    901
    Trophy Points:
    133
    Vitrectomy can be recommended when someone keeps having vitreous haemorrhages despite having had full PRP. The rationale is that the New Vessels which prompted the treatment haven't regressed and have grown forward from the retina into the vitreous. There is normally slight movement between the vitreous jelly and the retina and this tugs on the delicate New Vessels, causing them to bleed. Removing the vitreous stops this process and reduces the chance of further bleeds. Also, vitrectomy may be recommended if the vitreous is starting to shrink is pulling on these New Vessels - this might cause retinal detachment unless the vitreous is removed.

    Some info here:-
    http://www.diabeticretinopathy.org.uk/vitreous_hemorrhage.html
    https://www.bfwh.nhs.uk/wp-content/uploads/2018/02/PL705.pdf
     
    • Like Like x 1
  3. Becks33

    Becks33 · Well-Known Member

    Messages:
    69
    Likes Received:
    8
    Trophy Points:
    28
    And if I don’t have any more bleeds what can they do???
     
  4. Becks33

    Becks33 · Well-Known Member

    Messages:
    69
    Likes Received:
    8
    Trophy Points:
    28
    Because the blood vessels are still there but not growing anymore it’s stable but the ophthalmologist wants them to shrink would it be a case of VEGF???
     
  5. Dark Horse

    Dark Horse · Well-Known Member

    Messages:
    1,634
    Likes Received:
    901
    Trophy Points:
    133
    You need to discuss this with your ophthalmologist. Ask them exactly what they are recommending, why they are recommending it and what it involves. Most ophthalmology departments will have patient leaflets that explain various procedures.
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook