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Japanese

Fluctuation of macular edema in two cases following vitreous surgery without direct ocular intervention Sakiko Nakano 1 , Teiko Yamamoto 2 , Ikuto Masakane 3 , Tsuneo Konta 4 , Hidetoshi Yamashita 1 1Dept of Ophthalmol and Vis Sci, Yamagata Univ Fac of Med 2Dept of Ocular Cellular Engineering, Yamagata Univ Hosp 3Yabuki Hosp 41st Dept of Int Med, Yamagata Univ Fac of Med pp.1159-1166
Published Date 2008/7/15
DOI https://doi.org/10.11477/mf.1410102327
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Abstract. Purpose:To report two cases who received vitreous surgery and who showed fluctuation of diabetic maculopathy concomitant with systemic findings without direct ocular intervention. Cases and Findings:One was a 53-year-old male and the other was a 40-year-old female. The first case had proliferative diabetic retinopathy with macular edema that persisted after panretinal photocoagulation and vitrectomy. Systemic treatment for nephropathy and nephrosis resulted in reduced foveal thickness and improved macular edema 5 months later. The second case had diabetes mellitus for 15 years and had proliferative retinopathy with macular edema that persisted after panretinal photocoagulation and vitrectomy. Macular edema regressed after treatment for anemia and hypohemoglobinemia. Conclusion:Macular edema that failed to improve after panretinal photocoagulation and vitrectomy fluctuated concomitant with changes in systemic factors. Control of systemic factors is essential in the treatment of diabetic macular edema.


Copyright © 2008, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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