Meeting Summary 

For the Diabetic vitrectomy strategies of attack talk

Some important point when you deal with TRD 

Prepare your self with all weapons 

Don’t start without chandelier 

Inject IV Injection before surgery 

Prepare the case system condition before surgery.

For the Surgical Management of Diabetic vitreous hemorrhage talk

When diabetic patients experience chronic vitreous hemorrhage or complications with TRD, PPV is the preferred treatment option. However, a preoperative evaluation using a B-scan or OCT is necessary to accurately assess the status of the posterior and core vitreous. Preoperative anti-VEGF can also help reduce intraoperative bleeding. During PPV, spiral vitreous rhexis after core vitrectomy can help induce PVD, while a triamcinolone injection can help detect any remnants of schisis posterior cortical vitreous that need removal. Additionally, endo laser photocoagulation is necessary. It is important to note that good clinical assessment, patient counseling, and adequate medical treatment can help tailor the best management plan for the patient.

For the Surgical management of Tractional retinal detachment talk

Try to minimize the traction on the retina espcially if thin and ischemic to avoid inducing iatrogenic breaks. 

fining the correct plain is essential in peeling fibrovascular membranes 

always stain with triamcinolone to look for vitreoschisis which is very common in TRD cases.

For the Surgical management of combined Tractional and rhegmatogenous retinal detachment talk

1. combined diabetic TRD/RRDs are some of the most challenging scenarios

2. successful anatomical results may have poor visual outcomes due to macular ischemia.

3. ⁠Dissection is more difficult because the retina is very mobile, no countertraction is present when fibrovascular tissue is lifted.

4. It is important to remove all fibrovascular tissue and all traction near retinal breaks to allow retinal reattachment.

EXPLORE MORE