Endoscopic vitreoretinal surgery for complicated proliferative diabetic retinopathy

Purpose: To evaluate the indication for endoscopic vitreoretinal surgery in proliferative diabetic retinopathy (PDR). Methods: Chart review of consecutive cases of vitreoretinal surgery for PDR performed by one of the authors (Y.L.F.) over a 2-year period. Results: Endoscopic vitreoretinal surgery was performed in 8 of 41 (19.5%) eyes. The surgical indications were small pupil (3), hyphema (3), pseudopha kia with fibrotic posterior capsule (1), and pars plana neovascularization with anterior tractional retinal detachment (6). Conclusion: Endoscopic vitreoretinal surgery, by enhancing the visualizatio n of the retroirideal space, is a useful technique in PDR with opaque ocula r media and/or neovascularization of the pars plana and ciliary body.