Choroidal neovascularisation after surgical removal of submacular lipid plaques in diabetic maculopathy.
BACKGROUND
We report a case of choroidal neovascularisation (CNV) that developed after surgical removal of submacular lipid plaques secondary to diabetic maculopathy.


METHODS
A 73-year-old man with diabetic maculopathy underwent standard pars plana vitrectomy and surgical removal of the submacular lipid plaques.


RESULTS
Preoperative visual acuity was 20/200. Funduscopy revealed a macular oedema and subretinal lipid plaques at the macula. Nine months after surgery visual acuity had dropped to 20/320 and subfoveal CNV was diagnosed by fluorescein angiography. Observational management was chosen. At the last examination, 27 months after surgery, visual acuity had worsened to 20/500 and a CNV scar was seen at the macula.


CONCLUSIONS
CNV development should be kept in mind as a possible complication of surgical removal of submacular lipid plaques in patients with diabetic retinopathy.
Suesskind
Daniela
D
Centre for Ophthalmology, University of Tübingen, Schleichstrasse 12, 72076, Tübingen, Germany.
Gelisken
Faik
F
Bartz-Schmidt
Karl U
KU
D000368:Aged; D001161:Arteriosclerosis / Q000209:etiology / Q000601:surgery*; D020256:Choroidal Neovascularization / Q000175:diagnosis / Q000209:etiology*; D003930:Diabetic Retinopathy / Q000150:complications / Q000601:surgery*; D005451:Fluorescein Angiography; D006801:Humans; D008055:Lipids; D008297:Male; D011183:Postoperative Complications; D012171:Retinal Vessels / Q000473:pathology / Q000601:surgery*; D014792:Visual Acuity; D014821:Vitrectomy
D008055:Lipids