Prognosis of traction retinal detachment in proliferative diabetic retiopathy

Considering the complications which may arise when traction retinal detachment (TRD) is treated surgically, the correct assessment of its course is important. The evolution of TRD in proliferative diabetic retinopathy is described and its pathogenesis discussed. In order to predict the course of a specific clinical situation we have to assess the activity of retinopathy and the localization and extension of vitreoretinal adhesions. Some guide lines for proper evaluation and proper management of the often complicated clinical picture of TRD in proliferative diabetic retinopathy are presented.