Vitrectomy for Diffuse Macular Edema in Cases of Diabetic Retinopathy

• Published in: American journal of ophthalmology Vol. 122; no. 2; pp. 258 - 260
• Main Authors: Tachi, Naoko, Ogino, Nobuchika
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01-08-1996; Elsevier; Elsevier Limited
• 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; Endocrinopathy; Human; Edema; Retinopathy; Diabetes mellitus; Treatment efficiency; Vitreous body; Macula; Eye disease; Treatment; Surgery; Posterior; Vitrectomy; Unsticking
• ISSN: 0002-9394; 1879-1891
• DOI: 10.1016/S0002-9394(14)72018-5

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.