Vitrectomy results for diffuse diabetic macular edema with and without inner limiting membrane removal
| Autor: | M. Psylla, I. Alamanos, M. Aspiotis, K.E. Psilas, A. Christodoulou, Elli Ioachim, Christos Kalogeropoulos, Maria Stefaniotou |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
Pars plana
Male medicine.medical_specialty Visual acuity genetic structures Macular Edema/pathology/*surgery Fundus Oculi medicine.medical_treatment Diabetic macular edema Visual Acuity Vitrectomy Basement Membrane Macular Edema Vitrectomy/*methods 03 medical and health sciences 0302 clinical medicine Postoperative Complications Edema Ophthalmology medicine Humans Fluorescein Angiography Macular edema Aged Retrospective Studies Diabetic Retinopathy business.industry Basement Membrane/pathology/*surgery/ultrastructure Diabetic Retinopathy/pathology/*surgery Inner limiting membrane General Medicine Middle Aged medicine.disease eye diseases body regions medicine.anatomical_structure Treatment Outcome Vitreous membrane 030221 ophthalmology & optometry Female sense organs medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | European journal of ophthalmology. 14(2) |
| ISSN: | 1120-6721 |
| Popis: | PU R P O S E. To determine whether vitrectomy for diffuse diabetic macular edema with and without internal limiting membrane (ILM) peeling is equally effective in reducing edema. ME T H O D S. The authors retrospectively analyzed the surgical outcomes in 73 eyes of 52 patients with diffuse diabetic macular edema. Eighteen eyes (Group A) underwent thre e - p o r t pars plana vitrectomy with posterior hyaloid membrane (PHM) removal, while 55 eyes (Group B) had pars plana vitrectomy with additional ILM peeling after PHM removal. RE S U LT S. Intraoperatively, the posterior hyaloid was found to be attached to the macula in all eyes. In Group A, macular edema resolved completely in 8 eyes (44.4%) with improvement of visual acuity (VA). In Group B, VA improved in 38 eyes (69.1%) with complete re solution of edema. The results of this study indicated that vitrectomy effectively re d u c e d macular edema but eyes with ILM peeling (Group B) presented better results than those without ILM peeling. Another important factor related to the outcome seems to be the level of glycosylated hemoglobin (HbA1c). C O N C L U S I O N S. In eyes with diffuse diabetic macular edema vitrectomy seems to be effective, but additional ILM peeling presented better results. (Eur J Ophthalmol 2004; 14: 137-43) KE Y WO R D S. Diabetic macular edema, Vi t re c t o m y, Posterior hyaloid removal, Internal limiting membrane re m o v a l |
| Databáze: | OpenAIRE |
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