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

15 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 1

ASJC Scopus subject areas

  • Ophthalmology
  • Sensory Systems
  • Cellular and Molecular Neuroscience

Fingerprint Dive into the research topics of 'Pars plana vitrectomy with internal limiting membrane removal for macular hole associated with proliferative diabetic retinopathy'. Together they form a unique fingerprint.

  • Cite this