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Laser PRP

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

  1. Becks33

    Becks33 · Well-Known Member

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    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
     
    #1 Becks33, Sep 30, 2019 at 6:56 PM
  2. Dark Horse

    Dark Horse · Well-Known Member

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    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
     
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    #2 Dark Horse, Oct 1, 2019 at 7:08 AM
  3. Becks33

    Becks33 · Well-Known Member

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    And if I don’t have any more bleeds what can they do???
     
    #3 Becks33, Oct 1, 2019 at 8:14 AM
  4. Becks33

    Becks33 · Well-Known Member

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    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???
     
    #4 Becks33, Oct 1, 2019 at 8:14 AM
  5. Dark Horse

    Dark Horse · Well-Known Member

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    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.
     
    #5 Dark Horse, Oct 1, 2019 at 8:14 PM
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