title: Choroidal neovascularisation after surgical removal of submacular lipid plaques in diabetic maculopathy.
abstract: 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.
authors.affiliation: Centre for Ophthalmology, University of Tübingen, Schleichstrasse 12, 72076, Tübingen, Germany.
authors.forename: Daniela
authors.initials: D
authors.lastname: Suesskind
authors.forename: Faik
authors.initials: F
authors.lastname: Gelisken
authors.forename: Karl U
authors.initials: KU
authors.lastname: Bartz-Schmidt
mesh_terms: 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
chemical_list: D008055:Lipids