Wydanie 2/2007

Cukrzycowa retinopatia proliferacyjna typu Florid.

Floryd Type Proliferative Diabetic Retinopathy

Sława Kwiecień, Maria Kmera-Muszyńska, Krzysztof Cieślik, Jerzy Szaflik

Katedra i Klinika Okulistyki II Wydziału Lekarskiego Akademii Medycznej w Warszawie Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie Kierownik: prof. dr hab. n. med. Jerzy Szaflik


Summary: Proliferative retinopathy is the stage of diabetic retinopathy (DR) in which fibrovascular tissue proliferates on the surface of the retina and/or the optic disc and/or the iris. The clinical features of proliferative DR and its treatment protocols are well confined. The Diabetic Retinopathy Study (DRS) proved the efficacy of panretinal laser photocoagulation in reducing the incidence of blindness and slowing the progression of the proliferative lesions. Sometimes, however, in young diabetic patients with poor metabolic control, proliferative retinopathy shows dramatic features and a particular evolution pattern. The main clinical characteristics of this form of proliferative DR are the young age of the patients, the prevalence of females, bilateral lesions occurrence, and the rapid and ?horrible? course which may hamper laser treatment and lead to blindness in a short time. This form has therefore been defined ?rapid, bleeding and blinding? or ?florid? DR (FDR). Most authors underline the importance of early diagnosis and consider prompt panretinal laser photocoagulation and pars-plana vitrectomy the treatment of choice to limit blindness in FDR. Growing experience with laser photocoagulation, advances in vitreoretinal surgical techniques and intraoperative endolaser application improved the potential for FDR managing.

Keywords: Proliferative diabetic retinopathy, panretinal laser photocoagulation, the surface of the retina, blindness


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