December 2002
Volume 43, Issue 13
Free
ARVO Annual Meeting Abstract  |   December 2002
Surgical Management of Diabetic Macular Edema
Author Affiliations & Notes
  • RA Stevenson
    Clínica Alemana & Hospital Del Salvador Santiago Chile
  • A Kychenthal
    Clínica Alemana & Hospital Del Salvador Santiago Chile
  • P Dorta
    Clínica Alemana & Hospital Del Salvador Santiago Chile
  • A Siebert
    Clínica Alemana & Hospital Del Salvador Santiago Chile
  • Footnotes
    Commercial Relationships   R.A. Stevenson, None; A. Kychenthal, None; P. Dorta, None; A. Siebert, None.
Investigative Ophthalmology & Visual Science December 2002, Vol.43, 3460. doi:
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      RA Stevenson, A Kychenthal, P Dorta, A Siebert; Surgical Management of Diabetic Macular Edema . Invest. Ophthalmol. Vis. Sci. 2002;43(13):3460.

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

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Abstract

Abstract: : Purpose: To report on the visual outcome after surgical treatment for diffuse diabetic macular edema. Methods: Ten eyes of 7 patients with diabetic macular edema without posterior vitreous detachment underwent pars plana vitrectomy and peeling of the posterior hyaloid membrane. Pre and post operative clinical examination including best corrected visual acuity and fluorescein angiography were performed. Results: Only one eye had a thickened and taut posterior hyaloid membrane. At 4 to 17 month follow up the 10 eyes showed resolution of the macular edema with a decreased of the diffuse fluorescein leakage. Visual acuity at presentation ranged from 20/40 to 20/400. Post op visual acuity ranged from 20/40 to 20/20 with an improvement of one or more lines in 90% of cases (P=0.00032). Conclusion: Pars plana vitrectomy and surgical detachment of the posterior hyaloid may be beneficial in some patients with diabetic macular edema.

Keywords: 388 diabetic retinopathy • 460 macula/fovea • 628 vitreoretinal surgery 
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