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NR. 1/2006
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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 |
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| 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. |
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| Key words: |
diabetes mellitus, macular
edema, internal limiting membrane, vitrectomy, optical
coherence tomography, retinal thickness. |
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