Abstract • The vitreoretinal relationships of 312 eyes with diabetic retinopathy were analyzed statistically, based on the results of biomicroscopic observation and photography of the vitreous. Vitreous detachment usually occurs outside the temporal vascular arcades, and the macula subsequently becomes involved in the midstage of the proliferative process. The incidence of no vitreous detachment and complete vitreous detachment are significantly lower in proliferative retinopathy as compared with nonproliferative retinopathy. The incidence of partial vitreous detachment is significantly higher in proliferative than in nonproliferative retinopathy. The relatively high incidence of proliferation with no vitreous detachment indicates that vitreous detachment is not the sole triggering factor in the development of proliferative changes. However, partial vitreous detachment was shown, retrospectively, to stimulate a rapid exacerbation of the proliferative process as compared with eyes having no vitreous detachment or complete vitreous detachment. References 1. Davis MD: Vitreous contraction in proliferative diabetic retinopathy . Arch Ophthalmol 74:741-751, 1965.Crossref 2. Tolentino FI, Lee PF, Schepens CL: Biomicroscopic study of vitreous cavity in diabetic retinopathy . Arch Ophthalmol 75:238-246, 1966.Crossref 3. Takahashi M, Trempe CL, Schepens CL: Biomicroscopic evaluation and photography of posterior vitreous detachment . Arch Ophthalmol 98:665-668, 1980.Crossref 4. McMeel JW: Diabetic retinopathy: Fibrotic proliferation and retinal detachment . Trans Am Ophthalmol Soc 69:440-493, 1971. 5. Lee PF, McMeel JW, Sehepens CL, et al: A new classification of diabetic retinopathy . Am J Ophthalmol 62:207-219, 1966. 6. Van Heuven WAJ: Vitreous studies in diabetic retinopathy treated with photocoagulation , in Goldberg MF, Fine SL (eds): Symposium on the Treatment of Diabetic Retinopathy . Warrenton, Va, US Government Printing Office, 1969, pp 559-562. 7. Tolentino FI, Schepens CL, Freeman HM: Vitreoretinal Disorders: Diagnosis and Management . Philadelphia, WB Saunders Co, 1976, p 131. 8. Favre M, Goldmann H: Zur Genese der hinteren Glaskorperabhebung . Ophthalmologica 132:87-97, 1956.Crossref
Archives of Ophthalmology – American Medical Association
Published: Feb 1, 1981
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