Pars Plana Vitrectomy and Internal Limiting Membrane Peeling in an Eye With Foveal Lipid Deposition After Focal Laser for Diabetic Macular Edema

Abstract

 

Purpose:

 

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.

 

Methods:

 

A pars plana vitrectomy was performed. The ILM was stained withindocyanine green (ICG) and peeled.

 

Results:

 

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.

 

Conclusions:

 

Vitrectomy and ILM peeling may lead to resolution of foveallipid. 

 

 

 

Keywords: diabetic retinopathy • macula/fovea • edema