NR 6/2003
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Wpływ spontanicznego tylnego odłączenia ciała
szklistego
na resorpcję obrzęku plamki w retinopatii cukrzycowej w przebiegu cukrzycy typu II
The influence of spontaneous posterior vitreous
detachment in resolution of diabetic macular edema in NIDDM
Agnieszka Nowosielska1, Jacek Robaszkiewicz2,
Ewa Graczyńska1,
Wojciech Czarnecki 1, Andrzej Stankiewicz2
1Z Oddziału Okulistycznego Wojewódzkiego Szpitala Bródnowskiego w Warszawie
Kierownik: dr n. med. Wojciech Czarnecki
2Z Kliniki Okulistycznej Wojskowego Instytutu Medycznego
Centralny Szpital Kliniczny Ministerstwa Obrony Narodowej w Warszawie
Kierownik: prof. dr hab. n. med. Andrzej Stankiewicz |
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| Summary: |
Purpose: To establish the influence of
posterior vitreous detachment on development and resolution of diabetic macular edema in
NIDDM. To asses the posterior vitreous detachment role in argon laser treatment of
diabetic macular edema.
Material and methods: Retrospective study.
Results: 68 eyes of 36 patients were involved into the study, 52eyes
(76,5%) with macular edema and 16 eyes (23,5%) without macular edema. Posterior vitreous
detachment (PVD) was present in 62,5% of cases without macular edema, and only 30,77% of
cases had macular edema.
Laser treatment applied in accordance to general standards cased resolution of macular
edema in all cases with posterior vitreous detachment. In group with no spontaneous
posterior vitreous detachment, macular edema resolved only in 19,23% of cases.
Conclusions: Diabetic macular edema is less common in eyes with
spontaneous posterior vitreous detachment. This observation shows, that not only vascular
factor but also vitreo-macular tractions are responsible for macular pathology in diabetic
macular edema.
The efficacy of standard argon laser treatment depends also on vitreo-macular relation -
presence of PVD, and is more sufficient in eyes with posterior vitreous detachment. |
| Słowa kluczowe: |
obrzęk plamki, retinopatia cukrzycowa, fotokoagulacja
laserowa, trakcje szklistkowo-plamkowe, witrektomia. |
| Key words: |
macular edema, diabetic retinopathy, laser treatment,
vitreo-macular tractions, vitrectomy. |
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