Retinal neovascularization is a major feature of proliferative diabetic ret
inopathy, which represents a major public health problem, being responsible
for more irreversible blindness in persons of middle and older age than an
y other pathology. The societal burden of ocular neovascularization has pro
mpted extensive research into its mechanisms. The aim of this review will b
e to briefly summarize the current knowledge regarding the clinical and lab
oratory findings of diabetic retinopathy. From an investigational view, stu
dies of ocular neovascularization provide important informations, often per
mitting real-time, serial observations of neovascularization in vivo. This
allows investigators to analyse the relevance of specific pathogenic concep
ts regarding mechanisms of angiogenesis in vivo. This review additionally d
escribe current concepts regarding the pathogenesis and treatment of diabet
ic retinopathy.