Vitrectomy results for diffuse diabetic macular edema with and without inner limiting membrane removal

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dc.contributor.authorStefaniotou, M.en
dc.contributor.authorAspiotis, M.en
dc.contributor.authorKalogeropoulos, C.en
dc.contributor.authorChristodoulou, A.en
dc.contributor.authorPsylla, M.en
dc.contributor.authorIoachim, E.en
dc.contributor.authorAlamanos, I.en
dc.contributor.authorPsilas, K.en
dc.date.accessioned2015-11-24T19:40:39Z
dc.date.available2015-11-24T19:40:39Z
dc.identifier.issn1120-6721-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/24386
dc.rightsDefault Licence-
dc.subjectAgeden
dc.subjectBasement Membrane/pathology/*surgery/ultrastructureen
dc.subjectDiabetic Retinopathy/pathology/*surgeryen
dc.subjectFemaleen
dc.subjectFluorescein Angiographyen
dc.subjectFundus Oculien
dc.subjectHumansen
dc.subjectMacular Edema/pathology/*surgeryen
dc.subjectMaleen
dc.subjectMiddle Ageden
dc.subjectPostoperative Complicationsen
dc.subjectRetrospective Studiesen
dc.subjectTreatment Outcomeen
dc.subjectVisual Acuityen
dc.subjectVitrectomy/*methodsen
dc.titleVitrectomy results for diffuse diabetic macular edema with and without inner limiting membrane removalen
heal.abstractPURPOSE: To determine whether vitrectomy for diffuse diabetic macular edema with and without internal limiting membrane (ILM) peeling is equally effective in reducing edema. METHODS: The authors retrospectively analyzed the surgical outcomes in 73 eyes of 52 patients with diffuse diabetic macular edema. Eighteen eyes (Group A) underwent three-port pars plana vitrectomy with posterior hyaloid membrane (PHM) removal, while 55 eyes (Group B) had pars plana vitrectomy with additional ILM peeling after PHM removal. RESULTS: Intraoperatively, the posterior hyaloid was found to be attached to the macula in all eyes. In Group A, macular edema resolved completely in 8 eyes (44.4%) with improvement of visual acuity (VA). In Group B, VA improved in 38 eyes (69.1%) with complete resolution of edema. The results of this study indicated that vitrectomy effectively reduced macular edema but eyes with ILM peeling (Group B) presented better results than those without ILM peeling. Another important factor related to the outcome seems to be the level of glycosylated hemoglobin (HbA1c). CONCLUSIONS: In eyes with diffuse diabetic macular edema vitrectomy seems to be effective, but additional ILM peeling presented better results.en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/15134111-
heal.journalNameEur J Ophthalmolen
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate2004-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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