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NR. 2/2007
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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 |
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| 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. |
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| Key words: |
Proliferative diabetic
retinopathy, panretinal laser photocoagulation, the
surface of the retina, blindness. |
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