March 2012
Volume 53, Issue 14
Free
ARVO Annual Meeting Abstract  |   March 2012
Reversal Of Diabetic Macular Edema Following Gastric Bypass Surgery
Author Affiliations & Notes
  • Bernard J. Fowler
    Ophthalmology, Englewood Hospital & Medical Center, Englewood, New Jersey
  • Footnotes
    Commercial Relationships  Bernard J. Fowler, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science March 2012, Vol.53, 351. doi:
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    • Get Citation

      Bernard J. Fowler; Reversal Of Diabetic Macular Edema Following Gastric Bypass Surgery. Invest. Ophthalmol. Vis. Sci. 2012;53(14):351.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose: : To demonstrate connection between complete reversal of diabetic macular edema{which had been previously resistant to standard laser therapy} and gastric bypass surgery in an obese Type 2 diabetic.

Methods: : The patient was followed at regular intervals using visual acuity OCT and dilated retinal exam following gastric bypass surgery.

Results: : Complete resolution of diabetic macular edema in both eyes. HgbA1c and serum lipemic studies normalized. Hypertension normalized. Patient is off all diabetic and antihypertensive medications.Weight loss was 55 lbs.

Conclusions: : Gastric bypass can relieve severe sight threatening ocular complications in obese Type 2 diabetics who have previously failed on standard laser therapy. Decrease in belly fat generated cytokines may play a role following weight loss.

Keywords: diabetic retinopathy 
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