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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...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2017
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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. |
format | Online Article Text |
id | pubmed-5703175 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
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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