Editorial
Diabetic tractional papillopathy: a new (and true) nosological entity?
| The first 150 words of the full text of this article appear below. |
Partial restoration of vision was achieved following
vitrectomy in 15 of 17 eyes, ostensibly through removal of diabetic
fibrovascular proliferations from the nasal part of the optic disc and
relief of vitreopapillary traction which, for between 6 months and 6 years, had caused a reversible functional impairment of the
papillomacular bundle via stretching and kinking of ganglion cell axons
and additional or consecutive effects on their prelaminar blood supply.
Eyes with such features (that is, with traction primarily localised nasally on the disc and unaccountably affecting acuity without any
associated disturbance of the central visual field) should be subjected
to early vitrectomy in order to prevent irreversible long term damage
to central vision. This is the recommendation of Kroll and colleagues
in a report which is published in this issue of the
BJO (p 261) and which merits the careful
attention of all ophthalmologists involved in the management of
diabetic eye disease.
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- Vitreopapillary traction in proliferative diabetic vitreoretinopathy
- Peter Kroll, Wolfgang Wiegand, and Joerg Schmidt
Br. J. Ophthalmol. 1999 83: 261-264.[Abstract] [Full Text] [PDF]
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