Chapter 12. The Surgical Approach to the Diabetic Eye

  1. Peter H. Scanlon MD, MRCOphth, DCH, FRCP Consultant Ophthalmologist Lecturer1,
  2. Charles P. Wilkinson MD Chairman Professor of Ophthalmology2,
  3. Stephen J. Aldington DMS, FBIPP Gloucestershire Education and Research Development Manager3 and
  4. David R. Matthews MA (Oxon), DPhil, BM, BCh, FRCP Professor Chairman4

Published Online: 17 MAR 2009

DOI: 10.1002/9781444308174.ch12

A Practical Manual of Diabetic Retinopathy Management

A Practical Manual of Diabetic Retinopathy Management

How to Cite

Scanlon, P. H., Wilkinson, C. P., Aldington, S. J. and Matthews, D. R. (2009) The Surgical Approach to the Diabetic Eye, in A Practical Manual of Diabetic Retinopathy Management, Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444308174.ch12

Author Information

  1. 1

    Gloucestershire and Oxford Eye Units, Harris Manchester College, University of Oxford, Oxford, UK

  2. 2

    Department of Ophthalmology, Greater Baltimore Medical Center, Johns Hopkins University, Baltimore, USA

  3. 3

    Cheltenham, UK

  4. 4

    University of Oxford, Oxford Centre for Diabetes, Endocrinology & Metabolism, Oxford, UK

Publication History

  1. Published Online: 17 MAR 2009
  2. Published Print: 27 MAR 2009

ISBN Information

Print ISBN: 9781405170352

Online ISBN: 9781444308174



  • surgical approach to diabetic eye;
  • vitreous surgery (vitrectomy);
  • vitrectomy - intraocular procedure aimed at pathological features of diabetic retinopathy;
  • neovascularization on optic nerve;
  • vitreous surgery - three incisions for cutting/aspiration device, an illumination system, and continuous infusion site;
  • treatment techniques for PDR;
  • removal of blood and vitreous gel;
  • ‘delamination’ and ‘en bloc’ - methods of dissecting epiretinal fibrovascular tissue;
  • treating retinal breaks and detachments;
  • DME associated with partially detached vitreous and vitreomacular traction


This chapter contains sections titled:

  • Introduction

  • Vitreous Surgery (Vitrectomy)1–3

  • Treatment Techniques for PDR

  • Treatment Techniques for DME4,5

  • Practice Points

  • References