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Br J Ophthalmol 1999;83:12-14 doi:10.1136/bjo.83.1.12
  • Original Article
    • Clinical science

Vitrectomy for cystoid macular oedema with attached posterior hyaloid membrane in patients with diabetes

  1. Tomohiro Ikeda,
  2. Keiko Sato,
  3. Takuya Katano,
  4. Yasuhito Hayashi
  1. Department of Ophthalmology, Osaka City General Hospital, Osaka, Japan
  1. Tomohiro Ikeda, MD, Department of Ophthalmology, Osaka City General Hospital, 2–13–22, Miyakojimahondori, Miyakojima-ku, Osaka 534, Japan.
  • Accepted 12 May 1998

Abstract

AIM To report the success of vitrectomy in eliminating cystoid macular oedema and improving vision in three eyes of two patients with diabetic cystoid macular oedema. In all of the eyes there was no ophthalmoscopic evidence of traction from a posterior hyaloid membrane or from proliferative tissue.

METHODS Pars plana vitrectomy was performed on three eyes of two patients with diabetic cystoid macular oedema who did not show traction upon examination with a slit lamp biomicroscope and a scanning laser ophthalmoscope.

RESULTS Cystoid changes disappeared 1, 3, and 5 days, postoperatively, and diffuse macular oedema resolved within 2 weeks. The visual acuity was improved and maintained.

CONCLUSION Vitrectomy can be effective in some patients with diabetic cystoid macular oedema even in patients who lack evidence of traction by ophthalmoscopy.

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