Clinical Features and Surgical Treatment of Subretinal Proliferation in Proliferative Diabetic Retinopathy

Chan Wu; Rongping Dai; Youxin Chen; Xiao Zhang; Zhe Chen

doi:10.3389/fmed.2022.833519

Clinical Features and Surgical Treatment of Subretinal Proliferation in Proliferative Diabetic Retinopathy

Front Med (Lausanne). 2022 Feb 11:9:833519. doi: 10.3389/fmed.2022.833519. eCollection 2022.

Authors

Chan Wu^{1

2}, Rongping Dai^{1

2}, Youxin Chen^{1

2}, Xiao Zhang^{1

2}, Zhe Chen^{1

2}

Affiliations

¹ Department of Ophthalmology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China.
² Key Lab of Ocular Fundus Diseases, Chinese Academy of Medical Sciences, Beijing, China.

Abstract

Purpose: To describe the clinical characteristics, treatments, and prognosis of subretinal proliferation (SRP) in proliferative diabetic retinopathy (PDR) patients.

Methods: A total of 184 patients (221 eyes) who received vitrectomy for PDR between 2018 and 2021 were retrospectively reviewed. Patients with SRP were further evaluated. The following data were collected from their medical records: demographics, systemic and ophthalmologic findings, and treatment given specifically for SRP. The main outcome measures included the visual acuity (VA), funduscopic examination, and final anatomic success.

Results: Twelve eyes of eleven patients including seven females and four males with a mean age of 47.64 ± 11.21 years were evaluated. The surgical indication for the patients was mainly tractional retinal detachment (TRD) (100.0%). No retinal break was found preoperatively or intraoperatively. Only one eye (8.3%) had undergone subretinal band removal procedure intraoperatively, and the final anatomical success rate was 100%.

Conclusion: Subretinal proliferation in PDR was associated with TRD. The retina could reattach successfully after vitrectomy without removal or transection of SRP in most eyes.

Keywords: proliferative diabetic retinopathy (PDR); subretinal band; subretinal proliferation (SRP); tractional retinal detachment (TRD); vitrectomy.