Pars plana vitrectomy with internal limiting membrane removal for macular hole associated with proliferative diabetic retinopathy

Toshihide Kurihara, Kousuke Noda, Susumu Ishida, Makoto Inoue

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background: We describe the outcome of vitreous surgery in three eyes of three patients with macular hole associated with proliferative diabetic retinopathy (PDR) in the absence of fibrovascular proliferation, a combination of conditions where efficacy is incompletely known. Methods: The patients, all male were 62, 65, and 66 years old. Panretinal photocoagulation had been performed preoperatively in all, and one eye had undergone vitreous surgery. No fibrovascular tissue causing macular traction was observed in any case. Fluorescein angiography and optical coherence tomography (OCT) demonstrated persistent diabetic macular edema surrounding the hole. Affected eyes were treated with vitrectomy including internal limiting membrane (ILM) peeling; 20% sulfur hexafluoride gas (SF6) was introduced for tamponade. Results: Anatomical closure of the macular hole as well as resolution of macular edema was achieved in all cases, and vision improved considerably by more than two Snellen lines. Conclusions: Vitreous surgery with ILM peeling was effective for macular hole associated with PDR, attaining not only macular hole closure but also resolution of persistent diabetic macular edem.

Original languageEnglish
Pages (from-to)724-726
Number of pages3
JournalGraefe's Archive for Clinical and Experimental Ophthalmology
Volume243
Issue number7
DOIs
Publication statusPublished - 2005 Jul

Fingerprint

Retinal Perforations
Temazepam
Vitrectomy
Diabetic Retinopathy
Macular Edema
Membranes
Sulfur Hexafluoride
Fluorescein Angiography
Light Coagulation
Optical Coherence Tomography
Traction
Gases

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Pars plana vitrectomy with internal limiting membrane removal for macular hole associated with proliferative diabetic retinopathy. / Kurihara, Toshihide; Noda, Kousuke; Ishida, Susumu; Inoue, Makoto.

In: Graefe's Archive for Clinical and Experimental Ophthalmology, Vol. 243, No. 7, 07.2005, p. 724-726.

Research output: Contribution to journalArticle

@article{fc2f5847c9994f8d8dc494fdf773f83f,
title = "Pars plana vitrectomy with internal limiting membrane removal for macular hole associated with proliferative diabetic retinopathy",
abstract = "Background: We describe the outcome of vitreous surgery in three eyes of three patients with macular hole associated with proliferative diabetic retinopathy (PDR) in the absence of fibrovascular proliferation, a combination of conditions where efficacy is incompletely known. Methods: The patients, all male were 62, 65, and 66 years old. Panretinal photocoagulation had been performed preoperatively in all, and one eye had undergone vitreous surgery. No fibrovascular tissue causing macular traction was observed in any case. Fluorescein angiography and optical coherence tomography (OCT) demonstrated persistent diabetic macular edema surrounding the hole. Affected eyes were treated with vitrectomy including internal limiting membrane (ILM) peeling; 20{\%} sulfur hexafluoride gas (SF6) was introduced for tamponade. Results: Anatomical closure of the macular hole as well as resolution of macular edema was achieved in all cases, and vision improved considerably by more than two Snellen lines. Conclusions: Vitreous surgery with ILM peeling was effective for macular hole associated with PDR, attaining not only macular hole closure but also resolution of persistent diabetic macular edem.",
author = "Toshihide Kurihara and Kousuke Noda and Susumu Ishida and Makoto Inoue",
year = "2005",
month = "7",
doi = "10.1007/s00417-004-1081-x",
language = "English",
volume = "243",
pages = "724--726",
journal = "Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie",
issn = "0065-6100",
publisher = "Springer Verlag",
number = "7",

}

TY - JOUR

T1 - Pars plana vitrectomy with internal limiting membrane removal for macular hole associated with proliferative diabetic retinopathy

AU - Kurihara, Toshihide

AU - Noda, Kousuke

AU - Ishida, Susumu

AU - Inoue, Makoto

PY - 2005/7

Y1 - 2005/7

N2 - Background: We describe the outcome of vitreous surgery in three eyes of three patients with macular hole associated with proliferative diabetic retinopathy (PDR) in the absence of fibrovascular proliferation, a combination of conditions where efficacy is incompletely known. Methods: The patients, all male were 62, 65, and 66 years old. Panretinal photocoagulation had been performed preoperatively in all, and one eye had undergone vitreous surgery. No fibrovascular tissue causing macular traction was observed in any case. Fluorescein angiography and optical coherence tomography (OCT) demonstrated persistent diabetic macular edema surrounding the hole. Affected eyes were treated with vitrectomy including internal limiting membrane (ILM) peeling; 20% sulfur hexafluoride gas (SF6) was introduced for tamponade. Results: Anatomical closure of the macular hole as well as resolution of macular edema was achieved in all cases, and vision improved considerably by more than two Snellen lines. Conclusions: Vitreous surgery with ILM peeling was effective for macular hole associated with PDR, attaining not only macular hole closure but also resolution of persistent diabetic macular edem.

AB - Background: We describe the outcome of vitreous surgery in three eyes of three patients with macular hole associated with proliferative diabetic retinopathy (PDR) in the absence of fibrovascular proliferation, a combination of conditions where efficacy is incompletely known. Methods: The patients, all male were 62, 65, and 66 years old. Panretinal photocoagulation had been performed preoperatively in all, and one eye had undergone vitreous surgery. No fibrovascular tissue causing macular traction was observed in any case. Fluorescein angiography and optical coherence tomography (OCT) demonstrated persistent diabetic macular edema surrounding the hole. Affected eyes were treated with vitrectomy including internal limiting membrane (ILM) peeling; 20% sulfur hexafluoride gas (SF6) was introduced for tamponade. Results: Anatomical closure of the macular hole as well as resolution of macular edema was achieved in all cases, and vision improved considerably by more than two Snellen lines. Conclusions: Vitreous surgery with ILM peeling was effective for macular hole associated with PDR, attaining not only macular hole closure but also resolution of persistent diabetic macular edem.

UR - http://www.scopus.com/inward/record.url?scp=22144436276&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=22144436276&partnerID=8YFLogxK

U2 - 10.1007/s00417-004-1081-x

DO - 10.1007/s00417-004-1081-x

M3 - Article

VL - 243

SP - 724

EP - 726

JO - Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie

JF - Albrecht von Graefes Archiv für Klinische und Experimentelle Ophthalmologie

SN - 0065-6100

IS - 7

ER -