Florid retinopathy: a rapidly progressive form of proliferative diabetic retinopathy

B. Turgut
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Abstract

The complications of FDR are VH, tractional RD, neovascular glaucoma, and blindness in a very short time such as a few weeks or months. Thus, to prevent the destructive consequences of FDR, the management of the disease includes early diagnosis and aggressive treatment with an extensive pan-retinal photocoagulation (PRPC) and when necessary, early pars plana vitrectomy (PPV).1,2,6-8 Intravitreal anti-VEGF drug and steroid injections should be considered as the adjunctive treatment to obtain NV regression and interventional easiness for PRFC and PPV, if markedly fibrovascular vitreoretinal traction is not observed.9-11 Recent reports on the treatment of FDR showed that pituitary ablation, insulin-infusion device or continuous subcutaneous insulin infusion can preserve vision in selected cases.8,12,13
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黄斑视网膜病变:一种快速进展的增生性糖尿病视网膜病变
FDR的并发症有VH、牵引性RD、新生血管性青光眼和短时间失明,如几周或几个月。因此,为了防止FDR的破坏性后果,该疾病的管理包括早期诊断和广泛的泛视网膜光凝(PRPC)的积极治疗,必要时,早期的玻璃体切割(PPV)。1,2,6-8如果没有观察到明显的纤维血管玻璃体视网膜牵拉,应考虑玻璃体内抗vegf药物和类固醇注射作为辅助治疗,以使PRFC和PPV的NV消退和介入容易。最近关于FDR治疗的报道显示,垂体消融、胰岛素输注装置或持续皮下胰岛素输注可以在特定病例中保留视力8,12,13
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