Surgical Treatment for Severe Diabetic Macular Edema with Massive Hard Exudates
Resource
THE JOURNAL OF RETINAL AND VITREOUS DISEASES v.20 n.2 pp.121-125
Journal
THE JOURNAL OF RETINAL AND
Journal Volume
VITREOUS
Journal Issue
n.2
Pages
121-125
Date Issued
2000
Date
2000
Author(s)
YANG, CHUNG-MAY
Abstract
Purpose: Massive diabetic macular exudates respond poorly to conventional laser treatment. The purpose of this study was to analyze the surgical results of eyes with massive hard exudates secondary to diabetic macular edema treated with combined pars plana vitrectomy, posterior hyaloid removal, focal endolaser treatment, and panretinal photocoagulation. Methods: The author retrospectively analyzed the surgical outcome of 13 consecutive eyes (11 patients) with massive diabetic macular exudates. All patients had had at least one session of focal and/or grid laser treatment without any effect. Pars plana vitrectomy, posterior hyaloid removal, focal macular endolaser treatment, and intraoperative panretinal photocoagulation were performed. Postoperative visual acuity, evolution of macular edema, and hard exudates were recorded. Results: All 13 eyes showed significant decreases in macular edema and hard exudates, a process that became clinically obvious 3 months after the operation. Eleven eyes had improved vision of at least two lines during an average follow-up period of 14.8 months. Intraoperative and postoperative complications included angle closure glaucoma tone eye), persistent vitreous hemorrhage (two eyes ), choroidal detachment tone eye), intravitreal fibrin formation tone eye), epiretinal membrane formation tone eye) , and neovascular glaucoma tone eye). Conclusion: Combined surgery may offer an opportunity for improvement of vision and reduction of massive macular exudates in patients with severe diabetic macular edema.
Subjects
diabetic macular edema
hard exudates
pars plana vitrectomy
panretinal photocoagulation
RETINOPATHY
VITRECTOMY
SDGs