Purchase this article with an account.
RA Stevenson, A Kychenthal, P Dorta, A Siebert; Surgical Management of Diabetic Macular Edema . Invest. Ophthalmol. Vis. Sci. 2002;43(13):3460.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
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.
This PDF is available to Subscribers Only