April 2011
Volume 52, Issue 14
ARVO Annual Meeting Abstract  |   April 2011
Efficacy Of Vitrectomy In Diabetic Macular Edema Associated With An Epiretinal Membrane
Author Affiliations & Notes
  • Alexandra Sitbon
    Ophtalmology, CHI Andre Gregoire, Montreuil, France
  • Benedicte Dupas
    Ophtalmology, Hopital Lariboisiere, Paris, France
  • Pascale Massin
    Ophtalmology, Hopital Lariboisiere, Paris, France
  • Footnotes
    Commercial Relationships  Alexandra Sitbon, None; Benedicte Dupas, None; Pascale Massin, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 992. doi:
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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)

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Purpose: : To report the visual and anatomical outcomes of pars plana vitrectomy (PPV) in diabetic macular edema (DME) associated with an epiretinal membrane (ERM).

Methods: : 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).

Results: : 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.

Conclusions: : Vitrectomy is generally an effective procedure in reducing macular thickness and improving visual acuity in eyes with DME combined with an ERM.

Keywords: diabetes • vitreoretinal surgery • macula/fovea 

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