Vitreoretinal surgery of the internal limiting membrane in patients with diabetic macular edema

Session Details

Session Title: Free Paper Session 28: Vitreoretinal Surgery VII

Session Date/Time: Sunday 10/09/2017 | 12:00-13:30

Paper Time: 13:00

Venue: Room 116

First Author: : R.Zainullin RUSSIA

Co Author(s): :    M. Bikbov   R. Fayzrakhmanov   M. Kalanov   V. Salavatova                    

Abstract Details

Purpose:

To evaluate the results of surgical treatment of diabetic macular edema utilising vitrectomy 25 G

Setting:

Ufa Eye Research Institute, Ufa, Russia

Methods:

We have operated 25 patients (25 eyes) with diabetic macular edema in conjunction with vitreomacular traction syndrome. All patients underwent the seamless pars plana vitrectomy with peeling of the internal limiting membrane using 25g systems. Structural changes of the retina were recorded using the optical coherence tomography with a high resolution -- swept-source OCT

Results:

As a result of the treatment, in 68% of patients, the best corrected visual acuity has increased from 0.88 ± 0.08 to 0.54 ± 0.09 LogMAR (p = 0.035), on average. According to the data from the optical coherence tomography, the retinal thickness was 442.39 ± 12.34 µm, on average, before the treatment, and 379.26 ± 6.24 µm (p = 0.041) after the surgical treatment. However, we observed the preservation of some edema in the outer and inner retinal layer, inner nuclear layer, and partly in the layer of ganglion cells in 48.2% of patients.

Conclusions:

Capabilities of the modern vitreoretinal surgery allow achieving the improvement of visual acuity, reduced edema and, consequently, the overall thickness of the retina at diabetic macular edema in conjunction with traction syndrome.

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