Regression of macular drusen after pars plana vitrectomy in a patient with age-related macular degeneration.
OBJECTIVE
To report a case of marked regression of drusen and a pigment epithelial detachment (PED) with visual improvements after pars plana vitrectomy (PPV).


METHODS
A 67-year-old man noticed gradual visual deterioration to 20/80 due to macular soft drusen and a PED. A posterior vitreous detachment (PVD) was not present in the affected eye.


RESULTS
PPV was performed to create a PVD, and there was marked regression of drusen and a PED with visual improvement to 20/30. Vision was maintained at the final examination 30 months after surgery.


CONCLUSIONS
Vitrectomy may be considered for treatment of macular drusen and prevention of choroidal neovascularization.
From the Department of Ophthalmology, Keio University School of Medicine, Tokyo, Japan.
Miki
M
Fuseya
Yutaka
Y
Imamura
Susumu
S
Ishida
Makoto
M
Inoue
Kazuo
K
Tsubota