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Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes

PURPOSE: This study evaluated the outcomes of surgical cystotomy for recurrent diabetic cystoid macular edema (CME). PATIENTS AND METHODS: We analyzed 20 eyes with a clinical diagnosis of diabetic retinopathy and refractory CME. Release of vitreoretinal adhesion, epiretinal membrane (ERM) and intern...

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Autores principales: Asahina, Yuichi, Tachi, Naoko, Asahina, Yumi, Yoshimura, Kayoko, Ueta, Yoshiki, Hashimoto, Yoshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703175/
https://www.ncbi.nlm.nih.gov/pubmed/29200823
http://dx.doi.org/10.2147/OPTH.S150385
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author Asahina, Yuichi
Tachi, Naoko
Asahina, Yumi
Yoshimura, Kayoko
Ueta, Yoshiki
Hashimoto, Yoshihiro
author_facet Asahina, Yuichi
Tachi, Naoko
Asahina, Yumi
Yoshimura, Kayoko
Ueta, Yoshiki
Hashimoto, Yoshihiro
author_sort Asahina, Yuichi
collection PubMed
description PURPOSE: This study evaluated the outcomes of surgical cystotomy for recurrent diabetic cystoid macular edema (CME). PATIENTS AND METHODS: We analyzed 20 eyes with a clinical diagnosis of diabetic retinopathy and refractory CME. Release of vitreoretinal adhesion, epiretinal membrane (ERM) and internal limiting membrane (ILM) peeling and cystotomy guided by intraoperative optical coherence tomography (iOCT) were performed in every patient. Pars plana vitrectomy was also performed in 17 patients, 11 of whom also underwent lensectomy and intraocular lens implantation. Central retinal thickness (CRT), central minimum macular thickness (CMMT), macular volume (MV) and best-corrected visual acuity (BCVA) were compared preoperatively and 1 and 6 months post surgery. RESULTS: CRT, CMMT and MV significantly improved 1 and 6 months post surgery in each group (P<0.01). Significant improvements in BCVA were only observed 6 months post surgery (P<0.01). No intra- or postoperative complications were observed in all patients. CONCLUSION: CRT, CMMT, MV and BCVA significantly improved 6 months following surgical cystectomy. This implies that iOCT-guided cystotomy could be another treatment option for refractory CME in diabetic eyes.
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spelling pubmed-57031752017-11-30 Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes Asahina, Yuichi Tachi, Naoko Asahina, Yumi Yoshimura, Kayoko Ueta, Yoshiki Hashimoto, Yoshihiro Clin Ophthalmol Original Research PURPOSE: This study evaluated the outcomes of surgical cystotomy for recurrent diabetic cystoid macular edema (CME). PATIENTS AND METHODS: We analyzed 20 eyes with a clinical diagnosis of diabetic retinopathy and refractory CME. Release of vitreoretinal adhesion, epiretinal membrane (ERM) and internal limiting membrane (ILM) peeling and cystotomy guided by intraoperative optical coherence tomography (iOCT) were performed in every patient. Pars plana vitrectomy was also performed in 17 patients, 11 of whom also underwent lensectomy and intraocular lens implantation. Central retinal thickness (CRT), central minimum macular thickness (CMMT), macular volume (MV) and best-corrected visual acuity (BCVA) were compared preoperatively and 1 and 6 months post surgery. RESULTS: CRT, CMMT and MV significantly improved 1 and 6 months post surgery in each group (P<0.01). Significant improvements in BCVA were only observed 6 months post surgery (P<0.01). No intra- or postoperative complications were observed in all patients. CONCLUSION: CRT, CMMT, MV and BCVA significantly improved 6 months following surgical cystectomy. This implies that iOCT-guided cystotomy could be another treatment option for refractory CME in diabetic eyes. Dove Medical Press 2017-11-23 /pmc/articles/PMC5703175/ /pubmed/29200823 http://dx.doi.org/10.2147/OPTH.S150385 Text en © 2017 Asahina et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Asahina, Yuichi
Tachi, Naoko
Asahina, Yumi
Yoshimura, Kayoko
Ueta, Yoshiki
Hashimoto, Yoshihiro
Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title_full Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title_fullStr Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title_full_unstemmed Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title_short Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title_sort six-month postoperative outcomes of intraoperative oct-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5703175/
https://www.ncbi.nlm.nih.gov/pubmed/29200823
http://dx.doi.org/10.2147/OPTH.S150385
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