[Problems in pars plana vitrectomy in complicated diabetic retinopathy]

Introduction summarizes basal indications for pars plana vitrectomy (PPV) in complicated diabetic retinopathy (DR) and indications for urgently performed PPV are accentuated. Further there are explained various peculiarities of PPV in DR, various components forming the solution for infusion, advantages of the cerclage, some problems with surgery of the complicated cataracts, contribution and indications of the use of the silicone oil for the inner tamponade. Special attention was paid to the postoperative complications affecting the cornea, rubeosis iridis, iatrogenic tears of the retina and recurring intravitreal hemorrhages. Thereafter author concludes this review evaluating prognosis and long-term results of PPV and DR. He emphasizes the technical difficulties of this operation and recommends to concentrate the performance of this operation into the centres specialized for vitreoretinal surgery.