الفهرس | Only 14 pages are availabe for public view |
Abstract Background: Several complications of diabetic retinopathy need to be managed surgically. Pars plana vitrectomy (PPV) in diabetic patients has several established indications; Vitrectomy offers relief from retinal traction, clearing of media opacities, and stabilization of the proliferation process. Aim of the work: OCT assessment of central macular thickness pre and post 23-guage vitrectomy in patients with diabetic vitreoretinal traction maculopathy. Methods: This study included 48 eyes with DME and vitreomacular traction, visual acuity ranged between 0.5-1.3 LogMAR, central macular thickness by OCT >300 microns. Follow-up visits were performed every 2 months &at 6 months was the end point. The study was performed at the Research Institute of Ophthalmology (RIO). Results: from two months to six months postoperative, the 34 eyes that show reduction in CMT more than 50 microns from baseline to 2 months, 6 eyes of them (12%) show more reduction in CMT at least 50 microns, 35 eyes (72%) improved less than 50 microns and 6 eyes (12%) worsened 50 microns or more. The five eyes that show increase in CMT at 2 months postoperative three of them show increase in thickness at six months of at least more 50 micron |