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J. R. Etter, S. Fekrat; Pars Plana Vitrectomy and Internal Limiting Membrane Peeling in an Eye With Foveal Lipid Deposition After Focal Laser for Diabetic Macular Edema. Invest. Ophthalmol. Vis. Sci. 2007;48(13):4993.
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To report a case of foveal lipid that accumulated after focallaser photocoagulation for nonfoveal clinically significantmacular edema (CSME) that was then successfully treated withpars plana vitrectomy (PPV) and internal limiting membrane (ILM)peeling.
A pars plana vitrectomy was performed. The ILM was stained withindocyanine green (ICG) and peeled.
The visual acuity improved to 20/60 (was 20/400 pre-treatment)with complete resolution of the foveal lipid and macular edemaand remained unchanged 17 months later. Residual retinal pigmentepithelial changes were present.
Vitrectomy and ILM peeling may lead to resolution of foveallipid.
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