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Current Ophthalmology Reports

, Volume 7, Issue 1, pp 45–50 | Cite as

Decision Making in Proliferative Diabetic Retinopathy Treatment

  • Mary B. Kansora
  • Raquel GoldhardtEmail author
Retina (R Goldhardt, Section Editor)
  • 45 Downloads
Part of the following topical collections:
  1. Topical Collection on Retina

Abstract

Purpose of Review

The goal of this paper is to provide a comprehensive review of the recent advances in the management options for proliferative diabetic retinopathy.

Recent Findings

For many years, cases of proliferative diabetic retinopathy (PDR) have been managed by pan retinal photocoagulation (PRP). The advent of anti-vascular endothelial growth factor (anti-VEGF) agents has changed the future of PDR management and has provided an alternative to PRP.

Summary

Management of PDR requires the identification of high-risk characteristics for PDR and the decision regarding the most appropriate treatment modality. The risk to benefit ratio for each treatment modality must be considered in determining the appropriate choice between surgical intervention (PRP) versus medical intervention with anti-VEGF.

Keywords

Proliferative diabetic retinopathy Vascular endothelial growth factor Anti-VEGF Pan retinal photocoagulation Intravitreal injection Ranibizumab Bevacizumab Aflibercept 

Notes

Acknowledgements

The editors thank Dr. Fernando Penha for lending his expertise and reviewing this manuscript.

Financial Support

This study is supported by the Department of Veterans Affairs, Veterans Health Administration, Office of Research and Development, Clinical Sciences Research EPID-006-15S, NIH Center Core Grant P30EY014801, and Research to Prevent Blindness Unrestricted Grant.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.VA North Texas Health Care SystemDallasUSA
  2. 2.Department of OphthalmologyThe University of Texas Southwestern Medical CenterDallasUSA
  3. 3.Surgical ServicesMiami Veterans Administration Medical CenterMiamiUSA
  4. 4.Bascom Palmer Eye Institute, Department of OphthalmologyUniversity of MiamiMiamiUSA

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