Visual and Anatomical Outcomes of Pars Plana Vitrectomy in Refractory Diabetic Macular Edema | [Pakistan Journal of Ophthalmology • 2020]

Author(s):

1. Hussain Ahmad Khaqan: Ameer-ud-Din Medical College, PGMI, Lahore General Hospital, Lahore,Pakistan

2. Usman Imtiaz: Ameer-ud-Din Medical College, PGMI, Lahore General Hospital, Lahore, Pakistan

3. Hasnain Muhammad Buksh: Ameer-ud-Din Medical College, PGMI, Lahore General Hospital, Lahore, Pakistan

4. Hafiz Ateeq-ur-Rehman: Ameer-ud-Din Medical College, PGMI, Lahore General Hospital, Lahore, Pakistan

5. Raheela Naz: Ameer-ud-Din Medical College, PGMI, Lahore General Hospital, Lahore, Pakistan

6. Usman Shabbir: Ameer-ud-Din Medical College, PGMI, Lahore General Hospital, Lahore, Pakistan

Abstract:

Purpose: To find the visual and anatomical outcomes of pars plana vitrectomy in cases of refractory diabetic macular edema. Study Design: Quasi Experimental study. Material and Methods: Seventy-six patients between the age of 18 and 60 years of both genders having refractory diabetic macular edema with macular thickness of 400 micrometers or more on OCT were enrolled. Informed consent was taken. Detailed preoperative workup including visual assessment, examination on slit lamp using 90D or 78D lens for assessment of macular edema and OCT was done. Patients underwent pars plana vitrectomy, ERM, and ILM peeling. Visual assessment and macular thickness was recorded 4 weeks after surgery. Results: This study included 76 patients with the mean age of 48.15 ± 8.16 years. Patients were further categorized according to age into 2 groups. The gender distribution of patients showed that most of the participants were female in this study. Mean duration of Diabetes Mellitus was 9.95 ± 6.29 years. Most of the patients did not have previous history of laser and only three patients (3.9%) did not receive Intravitreal AntiVEGF. Mean preoperative visual acuity was 0.44 ± 0.13 while postoperative visual acuity was 0.876 ± 0.18 (P = 0.000). Similarly, significant decrease in macular thickness was observed after the procedure (P = 0.000). Conclusion: Pars plana vitrectomy, ERM and ILM peeling can be an effective treatment option for refractory diabetic macular edema.

Page(s): 57-61

DOI: DOI not available

Published: Journal: Pakistan Journal of Ophthalmology , Volume: 36, Issue: 1, Year: 2020

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