Page 76 - NAME OF CONDITION: REFRACTIVE ERRORS

1. Early vitrectomy provides a greater chance for prompt recovery of visual acuity in eyes
with recent severe vitreous haemorrhage.

2. For patients with IDDM, in whom severe vitreous haemorrhage occurred after a shorter
duration of diabetes, early vitrectomy provides a greater chance of recovering good
visual acuity
3. DRVS findings support early vitrectomy in eyes known or suspected to have very severe
PDR as a means of increasing the chance to restoring or maintain good vision.
4. Vitrectomy for traction retinal detachment or macular traction: Progressive tractional
RD threatening or involving the macula must be treated without delay.

Other medications that are being used in clinical practice and in clinical trials include
intravitreal bevacizumab (Avastin) and ranibizumab (Lucentis), These medications are
VEGF antibodies and antibody fragments, respectively. They can help to reduce diabetic
macular edema and also neovascularization of the disc or retina

a. Out Patient
Diagnosis and disease management
a. Investigations for diabetic retinopathy

b. Fluorescein angiography
c. Photography-scan ultrasonography
d. Lasers for diabetic retinopathy
b. In Patient:
 Advanced diabetic retinopathy
 Patient who need surgical treatment

 Patient with neovascular glaucoma, complicated cataract and other ocular
complication secondary to diabetes has to be admitted for further management.
c.Day care

d) Referral criteria:

Not applicable

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