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Alexandra Sitbon, Benedicte Dupas, Pascale Massin; Efficacy Of Vitrectomy In Diabetic Macular Edema Associated With An Epiretinal Membrane. Invest. Ophthalmol. Vis. Sci. 2011;52(14):992.
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© ARVO (1962-2015); The Authors (2016-present)
To report the visual and anatomical outcomes of pars plana vitrectomy (PPV) in diabetic macular edema (DME) associated with an epiretinal membrane (ERM).
Medical charts from diabetic patients operated on for a DME associated with an ERM were retrospectively reviewed. Main outcome measures were best-corrected visual acuity (BCVA) and central macular thickness (CMT) measured by Optical Coherence Tomography (OCT).
36 eyes of 28 diabetic patients were included. The mean post-operative follow-up duration was 7.1 ± 3.7 months (range, 3 to 12 months). After a 6-month follow-up, the mean postoperative best-corrected visual acuity improved from 0.83 ± 0.33 to 0.69 ± 0,34 (P < 0, 01). CMT decreased from 504±136 µm to 412 ±188µm at 6 months (P< 0.01). Cataract extraction was combined with ERM peeling in 8 eyes. In this subgroup, similar VA outcomes with no significant progression of DME were found compared to eyes with non-combined surgery. Triamcinolone intravitreal injections (IVTA) were performed in 15 patients, allowing to obtain a significant improve in VA level and CMT, with no difference in VA gain and CMT decrease compared to eyes with no IVTA.
Vitrectomy is generally an effective procedure in reducing macular thickness and improving visual acuity in eyes with DME combined with an ERM.
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