Vitrectomy for Diffuse Macular Edema in Cases of Diabetic Retinopathy

To ascertain the effects of posterior vitreous detachment for diffuse diabetic macular edema. We performed vitrectomy on 58 eyes of 41 consecutive patients with diabetic macular edema without posterior vitreous detachment. Follow-up was done at 12 months postoperatively. In 57 of 58 eyes after vitre...

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Bibliographic Details
Published in:American journal of ophthalmology 1996-08, Vol.122 (2), p.258-260
Main Authors: Tachi, Naoko, Ogino, Nobuchika
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Diabetes Mellitus, Type 2 - complications
Diabetic Retinopathy - complications
Edema - etiology
Edema - surgery
Female
Fluorescein Angiography
Fundus Oculi
Humans
Lenses, Intraocular
Macula Lutea - surgery
Male
Medical sciences
Middle Aged
Phacoemulsification
Prospective Studies
Retinal Diseases - etiology
Retinal Diseases - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the eye and orbit
Visual Acuity
Vitrectomy
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Summary:To ascertain the effects of posterior vitreous detachment for diffuse diabetic macular edema. We performed vitrectomy on 58 eyes of 41 consecutive patients with diabetic macular edema without posterior vitreous detachment. Follow-up was done at 12 months postoperatively. In 57 of 58 eyes after vitrectomy and posterior vitreous detachment, macular edema resolved, and diffuse fluorescein leakage disappeared in 35 of 36 eyes examined at the 12th month. Visual improvement was statistically significant (P < .0001, paired t test). In eyes with diffuse diabetic macular edema and without posterior vitreous detachment, vitrectomy with posterior vitreous detachment may be effective.
ISSN:0002-9394
1879-1891
DOI:10.1016/S0002-9394(14)72018-5