Long-term follow-up results of pars plana vitrectomy for diabetic macular edema

To analyze the long-term effects of pars plana vitrectomy for diabetic macular edema. Sixty-nine patients (73 eyes) with diabetic macular edema were examined retrospectively after pars plana vitrectomy. The mean follow-up time was 24.6 +/- 7.3 months. The postoperative best-corrected visual acuity (...

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Veröffentlicht in:Japanese journal of ophthalmology 2007-07, Vol.51 (4), p.285-291
Hauptverfasser: Yamamoto, Teiko, Takeuchi, Shinobu, Sato, Yukihiro, Yamashita, Hidetoshi
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container_title Japanese journal of ophthalmology
container_volume 51
creator Yamamoto, Teiko
Takeuchi, Shinobu
Sato, Yukihiro
Yamashita, Hidetoshi
description To analyze the long-term effects of pars plana vitrectomy for diabetic macular edema. Sixty-nine patients (73 eyes) with diabetic macular edema were examined retrospectively after pars plana vitrectomy. The mean follow-up time was 24.6 +/- 7.3 months. The postoperative best-corrected visual acuity (BCVA) at 12 months was significantly better than the preoperative BCVA, and the improvement was maintained for at least 24 months. The mean central retinal thickness (RT) at 3 months after surgery was significantly thinner than the preoperative central RT, and was maintained for at least 24 months in the cases followed for this period. The postoperative BCVA was significantly worse than the preoperative BCVA at 2 years after surgery in eyes with a preoperative BCVA of < or =0.05. In addition, there was lower probability that the postoperative BCVA would be > or =0.5 in eyes with a preoperative BCVA of 0.05 at worst.
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Sixty-nine patients (73 eyes) with diabetic macular edema were examined retrospectively after pars plana vitrectomy. The mean follow-up time was 24.6 +/- 7.3 months. The postoperative best-corrected visual acuity (BCVA) at 12 months was significantly better than the preoperative BCVA, and the improvement was maintained for at least 24 months. The mean central retinal thickness (RT) at 3 months after surgery was significantly thinner than the preoperative central RT, and was maintained for at least 24 months in the cases followed for this period. The postoperative BCVA was significantly worse than the preoperative BCVA at 2 years after surgery in eyes with a preoperative BCVA of &lt; or =0.05. In addition, there was lower probability that the postoperative BCVA would be &gt; or =0.5 in eyes with a preoperative BCVA of &lt;0.3. The results indicate that the improvement in the BCVA is attained by 12 months postvitrectomy, and is maintained for at least 24 months. The reduction in RT can be maintained for up to 24 months. 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subjects Adult
Aged
Aged, 80 and over
Diabetic Retinopathy - complications
Diabetic Retinopathy - surgery
Female
Follow-Up Studies
Humans
Macular Edema - etiology
Macular Edema - surgery
Male
Middle Aged
Postoperative Period
Retina - pathology
Retrospective Studies
Time Factors
Tomography, Optical Coherence
Treatment Outcome
Visual Acuity
Vitrectomy - methods
title Long-term follow-up results of pars plana vitrectomy for diabetic macular edema
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