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Wydanie 4/2009
str. 34

Metody leczenia retinopatii cukrzycowej proliferacyjnej

Treatment Methods of the Diabetic Proliferative Retinopathy

Wojciech Lubiński

Katedra i Klinika Okulistyki Pomorskiej Akademii Medycznej w Szczecinie Kierownik: prof. dr hab. n. med. Danuta Karczewicz

Summary: On the basis of the literature current medical and surgical methods of the proliferative diabetic retinopathy treatment are presented. The glycemic and blood pressure control are the most important for optimal treatment of patients with diabetic ocular complications. Panretinal photocoagulation and focal/grid laser are still gold standard in the proliferative diabetic retinopathy (PDE) and diabetic macular edema (DME) treatment. In PDE and DME therapy, corticosteroids and anti-VEGF agents are safe and useful in the short-term follow-up and need more studies with longer follow-up period. The number of microvitrectomies in PDE will grow-up because of good visual outcomes and less invasive surgery in comparison to standard (20 gauge) vitrectomy.

Słowa kluczowe: leczenie retinopatii cukrzycowej proliferacyjnej, panfotokoagulacja siatkówki, kortykosteroidy, terapia anty-VEGF, witrektomia.

Keywords: proliferative diabetic retinopathy treatment, panretinal photocoagulation, corticosteroids, anti-VEGF drugs, vitrectomy.

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