Outcome of vitrectomy for diabetic macula edema. Implication of surgical modality and type of edema Mari Kato 1 , Hitoshi Takagi 1 , Kiyoshi Suzuma 1 , Hideyasu Oh 1 , Hirokazu Nishiwaki 1 , Jun-ichi Kiryu 1 , Sachiyo Noami 1 , Tetsushi Kimura 1 , Fusano Takahashi 2 , Yoshihito Honda 1 1Dept of Ophthalmol and Visual Sci, Grad Sch of Med, Kyoto Univ 2Dept of Ophthalmol, Otowa Hosp pp.993-998
Published Date 2002/6/15
DOI https://doi.org/10.11477/mf.1410907770
  • Abstract
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We performed vitreous surgery on 61 eyes of diabetic macular edema without posterior vitreous detach-ment (PVD) during the past 8 years. Artificial PVD only was created in 27 eyes with no thickening of posterior vitreous membrane or proliferative membrane. Membrane peeling was additionally performed in the other 34 eyes. The final visual acuity improved by 2 lines or more in 56%, remained unchanged in 34%, and deteriorated in 10%. The visual acuity improved in 48% of 27 eyes receiving artificial PVD only. It improved in 62% in the other 34 eyes. It improved in 59% of eyes with diffuse macular edema and in 38% of eyes with cystoid macular edema (CME). It improved, spe-cifically, in 75% of eyes with diffuse macular edema receiving additional membrane peeling. The findings show that the visual outcome may be dependent on the presence of CME and thickened posterior vitreous membrane prior to sur-gery.

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