Vitrectomy for diffuse macular edema in cases of diabetic retinopathy.
OBJECTIVE
To ascertain the effects of posterior vitreous detachment for diffuse diabetic macular edema.


METHODS
We performed vitrectomy on 58 eyes of 41 consecutive patients with diabetic macular edema without posterior vitreous detachment. Follow-up was done at 12 months postoperatively.


RESULTS
In 57 of 58 eyes after vitrectomy and posterior vitreous detachment, macular edema resolved, and diffuse fluorescein leakage disappeared in 35 of 36 eyes examined at the 12th month. Visual improvement was statistically significant (P < .0001, paired t test).


CONCLUSIONS
In eyes with diffuse diabetic macular edema and without posterior vitreous detachment, vitrectomy with posterior vitreous detachment may be effective.
Tachi
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N
Department of Ophthalmology, Aichi Medical University, Japan. qzk10667@niftyserve.or.jp
Ogino
N
N
D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003930:Diabetic Retinopathy / Q000150:complications*; D004487:Edema / Q000209:etiology / Q000601:surgery*; D005260:Female; D005451:Fluorescein Angiography; D005654:Fundus Oculi; D006801:Humans; D007910:Lenses, Intraocular; D008266:Macula Lutea / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D018918:Phacoemulsification; D011446:Prospective Studies; D012164:Retinal Diseases / Q000209:etiology / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy