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Pathogenesis of proliferative neovascular retinopathies and the role of vitrectomy. A hypothesis

✍ Scribed by Robert Machemer


Publisher
Springer Netherlands
Year
1978
Tongue
English
Weight
209 KB
Volume
1
Category
Article
ISSN
0165-5701

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✦ Synopsis


Proliferative neovascular retinopathies may be caused by the release of a hypothetical vasoproliferative factor, but mechanical factors seem to self-perpetuate the disease as well. Contraction of proliferative tissue causes vitreous detachment and traction on the retina. Congestion of vascular fronds by traction further stimulates vascularization. Traction on vessels results in hemorrhages.

Surgical removal of all intravitreal scaffolds by vitrectomy seems to eliminate the development of this vicious cycle. Results of vitreous surgery seem to indicate that the hypothesis of scaffold removal is valid.


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