This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Diagnosis and Treatment of Retina, Subject name: Ophthalmology
[{'content': '45 yr of male presented with Proliferative diabetic retinopathy with Vitreomacular traction. What can be treatment? \nSelect and explain. \nA. Pan Retinal Photocoagulation, B. Vitrectomy with endophotocoagulation, C. Ozurodex, D. Anti VEGF', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Any vitreomacular traction in proliferative diabetic retinopathy has to be removed by vitrectomy first followed by endophotocoagulation. Treatment Of Diabetic Retinopathy MILD NPDR- Control Blood Sugar. Moderate NPDR- Control Blood Sugar. Severe NPDR- Control Blood Sugar. Very Severe NPDR- Control Blood Sugar, Regular follow-up, Laser photocoagulation recommended in high-risk patients. (One eye lost due to PDR, poor systemic control, nephropathy, poor follow-up expected.) PDR with Neovascularization of Disc (NVD): Always do Panretinal photocoagulation. Clinically significant Macular edema: New treatment strategy is to decrease the edema with Anti VEGF, then do Macular grid laser if necessary, can use intravitreal steroids, like Ozurodex or Triamcinolone Acetate. Vitreomacular traction: Do vitrectomy first followed by the endophotocoagulation. Lasers used in PRP: Argon blue & Ruby.', 'role': 'assistant'}]