Easy Proliferative Diabetic Retinopathy

  • Ulrich Spandau
  • Heinrich Heimann


The following chapter gives a structured and detailed description on how to approach eyes with proliferative diabetic retinopathy. The surgical approach for an easy proliferative diabetic retinopathy is shown. A typical example for an easy proliferative diabetic retinopathy is a vitreous hemorrhage without retinal tractions. The timing is of utmost importance. We propose a stepwise approach for first cataract surgery with anti-VEGF injection and then a delayed vitrectomy.


Diabetic retinopathy Easy proliferative diabetic retinopathy Proliferative diabetic retinopathy Vitrectomy Phaco and Avastin 

Supplementary material

Video 14.1

Phaco and Avastin (WMV 55692 kb)

Video 14.2

Diabetic hemorrhage (WMV 34724 kb)

Video 14.3

Easy diabetes (WMV 156822 kb)


  1. 1.
    Arevalo JF, Maia M, Flynn HW, et al. Tractional retinal detachment following intravitreal bevacizumab (Avastin) in patients with severe proliferative diabetic retinopathy. Br J Ophthalmol. 2008;92:213–6.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ulrich Spandau
    • 1
  • Heinrich Heimann
    • 2
  1. 1.University Eye HospitalUppsalaSweden
  2. 2.Royal Liverpool University HospitalLiverpoolUK

Personalised recommendations