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Wydanie 1/2006

Witrektomia z usunięciem ILM w leczeniu cukrzycowego obrzęku plamki

Vitrectomy with ILM Peeling in Diabetic Macular Edema Management

Zbigniew Pikulski, Sławomir Cisiecki

Klinika Okulistyczna "Jasne Błonia" w Łodzi Kierownik: prof. dr hab. n. med. Jerzy Nawrocki

Summary: Purpose: To investigate results of vitrectomy with Internal Limiting Membrane (ILM) peeling for diabetic macular edema (DME).
Material: Ten eyes of 10 patients with DME underwent vitrectomy with ILM removal from August 2004 to May 2005. The preoperative BCVA ranged from 0.04 to 0.1 (average 0.05). Mean preoperative retinal thickness was 522 µm.
Methods: Optical coherence tomography (OCT), fundus photography and fluorescein angiography was performed pre- and postoperatively. Vitrectomy with ILM peeling and fluid/air exchange was performed.
Results: Patients were followed up from 14 to 4 months (average 7 months). Median BCVA improved to 0.1 (range from 0.04 to 0.3). Mean retinal thickness decreased to 296 µm.
Conclusion: In eyes with DME that underwent surgery, the foveal thickness decreased after vitrectomy with ILM removal, which may be effective for diabetic macular edema treatment.

Keywords: diabetes mellitus, macular edema, internal limiting membrane, vitrectomy, optical coherence tomography, retinal thickness.

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