TABLE 2096 Changes in the Diabetic Retina

Laser photocoagulation of proliferative retinopathy has been proven to be efficacious in preventing blindness from proliferative retinopathy, particularly in patients with macular edema. Vitrectomy may be necessary to preserve vision in cases of severe proliferative retinopathy with vision loss secondary to retinal hemorrhage and detachment or vitreous hemorrhage.19 Experimental trials involving aldose reductase inhibitors and aminoguanidine in the treatment of diabetic retinopathy are ongoing.

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