deep vitrectomy for diabetic macular edema associated with taut and thickened posterior hyaloid
نویسندگان
چکیده
purpose: to evaluate the effectiveness of pars plana vitrectomy and posterior hyaloid stripping in decreasing macular thickness and improving vision in diabetic macular edema. methods: this prospective interventional case series includes 30 eyes of 25 diabetic patients with diabetic macular edema with macular thickness exceeding 170 microns and thickened posterior hyaloid. bcva and macular thickness measured by oct were evaluated preoperatively and 4-6 months postoperatively. macular perfusion was evaluated by means of fluorescein angiography preoperatively. treatment consisted of pars plana vitrectomy and stripping of posterior hyaloid. results: mean preoperative macular thickness was 531.97±126.52 mm which decreased to 365.2103.2, postoperatively (p< 0.001). mean preoperative bcva (log mar) was 0.820.39 which improved to 0.650.34 postoperatively (p=0.006). according to pearson correlation coefficient, macular perfusion and presurgical bcva < 20/200 had statistically significant correlation with post surgical bcva. conclusion: pars plana vitrectomy and posterior hyaloid stripping lead to decrease in macular thickness and improvement of vision in patients with diabetic macular edema. all patients are legible to be exposed to the risks of surgery and it is mandatory to select patients for this modality according to macular perfusion state and after documenting the role of vitreous in the pathogenesis of the edema with oct.
منابع مشابه
vitrectomy for diffuse refractory diabetic macular edema associated with a taut premacular posterior hyaloid
purpose: to evaluate the anatomic and visual results and complications of vitrectomy in eyes with diffuse refractory diabetic macular edema associated with a taut posterior hyaloid. methods: this prospective interventional case series was conducted on 25 eyes of 22 patients with diffuse clinically significant diabetic macular edema, macular thickness greater than 250 microns on optic coherence ...
متن کاملVitrectomy for persistent diffuse diabetic macular edema.
PURPOSE To evaluate the potential benefit of vitrectomy in eyes with persistent diffuse macular edema. DESIGN Prospective randomized comparative clinical trial. METHODS Eyes with diffuse diabetic macular edema for 6 to 18 months, an attached posterior hyaloid, and grid laser photocoagulation performed at least 4 months before were included. Patients were randomized either to a vitrectomy gr...
متن کاملVitrectomy for cystoid macular oedema with attached posterior hyaloid membrane in patients with diabetes.
AIM To report the success of vitrectomy in eliminating cystoid macular oedema and improving vision in three eyes of two patients with diabetic cystoid macular oedema. In all of the eyes there was no ophthalmoscopic evidence of traction from a posterior hyaloid membrane or from proliferative tissue. METHODS Pars plana vitrectomy was performed on three eyes of two patients with diabetic cystoid...
متن کاملVitrectomy for diabetic macular edema; where are we?
Diabetic retinopathy is the leading cause of visual impairment in the working age group mainly due to diabetic macular edema (DME). As the incidence of diabetes is increasing in human populations, the visual burden of DME is expected to expand. The standard treatment for DME has been macular laser photocoagulation for almost two decades but has shifted to intravitreal injection of anti-VEGF age...
متن کاملVitrectomy Combined with Intravitreal Triamcinolone Acetonide Injection and Macular Laser Photocoagulation for Nontractional Diabetic Macular Edema
PURPOSE To evaluate the efficacy of vitrectomy combined with intravitreal injection of triamcinolone acetonide (IVTA) and macular laser photocoagulation for the treatment of nontractional diabetic macular edema (DME) refractory to anti-vascular endothelial growth factor (VEGF) therapy. METHODS Twenty-eight eyes from 28 subjects who were diagnosed with nontractional DME refractory to three or ...
متن کاملposterior subtenon triamcinolone injection for refractory diabetic macular edema
purpose: to evaluate the effects of posterior subtenon triamcinolone acetonide (ta) injection on clinical, angiographic, and optical coherence tomographic (oct) features in refractory diabetic macular edema (dme). method: in a randomized double-masked placebo-controlled clinical trial, 38 consecutive patients (64 eyes) with dme refractory to previous laser therapy or not suitable for such treat...
متن کاملمنابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
بیناجلد ۱۰، شماره ۳، صفحات ۳۱۲-۳۲۰
کلمات کلیدی
میزبانی شده توسط پلتفرم ابری doprax.com
copyright © 2015-2023