Refining vitrectomy for proliferative diabetic retinopathy

Abstract

Pars plana vitrectomy (PPV) is the main treatment modality for patients with severe diabetic retinopathy. With the development of systems for microincision, wide-angle viewing, digitally assisted visualization, and intraoperative optical coherence tomography, contemporary PPV for diabetic retinopathy has been performed on a wider range of indications than previously considered. In this article, we reviewed, in conjunction with our collective experiences with Asian patients, the applications of new technologies for PPV in eyes with diabetic retinopathy and highlighted several important procedures and entities not generally reiterated in the literature, in order for vitreoretinal surgeons to optimize their approaches when facing the challenges imposed by the complications in diabetic eyes.

Influence of continuous 4C nursing on quality of life and self-care ability of patients with diabetes retinopathy: An observational study

“…[ 16 ] In contrast to previous studies that mainly focused on single-treatment modalities such as medication, laser therapy, or surgical treatment, this study explored a comprehensive intervention approach through continuous 4C nursing, which provides a more holistic care plan for DR patients. [ 5 , 7 ] While traditional nursing interventions primarily occur during hospitalization, posthospital care interventions are often overlooked, limiting patients’ self-care abilities after discharge and resulting in suboptimal nursing outcomes. [ 17 , 18 ] Therefore, there is a need to further explore more suitable nursing intervention methods to meet specific requirements.…”

“…Similarly, surgical intervention, while effective for some complex cases of diabetic retinopathy, carries high risks and recurrence rates. [ 5 – 7 ] Despite significant advancements in medical technology improving visual acuity and quality of life for DR patients posttreatment, the risk of complications such as poor blood sugar control, fundus hemorrhage, and elevated intraocular pressure remains due to a lack of self-care and medication knowledge post-discharge. Therefore, providing effective extended care is crucial to enhance home care effectiveness and improve treatment and rehabilitation levels.…”