Abstract
Purpose: To evaluate the therapeutic efficacy of a novel surgical procedure for diffuse diabetic macular edema (DME), performed in conjunction with conventional vitrectomy. Methods: This prospective, interventional case series involved 20 eyes of 18 consecutive DME patients with best-corrected visual acuities (BCVAs) between 0.301 and 1.221 logarithm of the minimal angle of resolution (logMAR) units and central retinal thicknesses (CRTs) greater than 275 μm. After vitrectomy, a small retinal detachment was made in the macula by injecting 50–100 μl balanced salt solution into the subretinal space using a 38-gauge needle. Before finishing the surgery, fluid-air exchange was performed. Patients were asked to remain in prone position for 1 day postoperatively. The main outcome measures were CRT and BCVA. Results: The mean CRT of 554.6 ± 152.7 μm before surgery significantly decreased to 295.6 ± 92.5 μm (p
| Original language | English |
|---|---|
| Pages (from-to) | 279-287 |
| Number of pages | 9 |
| Journal | Japanese Journal of Ophthalmology |
| Volume | 59 |
| Issue number | 5 |
| DOIs | |
| Publication status | Published - Jul 30 2015 |
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Keywords
- Diffuse diabetic macular edema
- Foveal detachment
- Vitrectomy
ASJC Scopus subject areas
- Ophthalmology
Cite this
Planned foveal detachment technique for the resolution of diffuse diabetic macular edema. / Morizane, Yuki; Kimura, Shuhei; Hosokawa, Mio; Shiode, Yusuke; Hirano, Masayuki; Doi, Shinichiro; Hosogi, Mika; Fujiwara, Atsushi; Inoue, Yasushi; Shiraga, Fumio.
In: Japanese Journal of Ophthalmology, Vol. 59, No. 5, 30.07.2015, p. 279-287.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Planned foveal detachment technique for the resolution of diffuse diabetic macular edema
AU - Morizane, Yuki
AU - Kimura, Shuhei
AU - Hosokawa, Mio
AU - Shiode, Yusuke
AU - Hirano, Masayuki
AU - Doi, Shinichiro
AU - Hosogi, Mika
AU - Fujiwara, Atsushi
AU - Inoue, Yasushi
AU - Shiraga, Fumio
PY - 2015/7/30
Y1 - 2015/7/30
N2 - Purpose: To evaluate the therapeutic efficacy of a novel surgical procedure for diffuse diabetic macular edema (DME), performed in conjunction with conventional vitrectomy. Methods: This prospective, interventional case series involved 20 eyes of 18 consecutive DME patients with best-corrected visual acuities (BCVAs) between 0.301 and 1.221 logarithm of the minimal angle of resolution (logMAR) units and central retinal thicknesses (CRTs) greater than 275 μm. After vitrectomy, a small retinal detachment was made in the macula by injecting 50–100 μl balanced salt solution into the subretinal space using a 38-gauge needle. Before finishing the surgery, fluid-air exchange was performed. Patients were asked to remain in prone position for 1 day postoperatively. The main outcome measures were CRT and BCVA. Results: The mean CRT of 554.6 ± 152.7 μm before surgery significantly decreased to 295.6 ± 92.5 μm (p
AB - Purpose: To evaluate the therapeutic efficacy of a novel surgical procedure for diffuse diabetic macular edema (DME), performed in conjunction with conventional vitrectomy. Methods: This prospective, interventional case series involved 20 eyes of 18 consecutive DME patients with best-corrected visual acuities (BCVAs) between 0.301 and 1.221 logarithm of the minimal angle of resolution (logMAR) units and central retinal thicknesses (CRTs) greater than 275 μm. After vitrectomy, a small retinal detachment was made in the macula by injecting 50–100 μl balanced salt solution into the subretinal space using a 38-gauge needle. Before finishing the surgery, fluid-air exchange was performed. Patients were asked to remain in prone position for 1 day postoperatively. The main outcome measures were CRT and BCVA. Results: The mean CRT of 554.6 ± 152.7 μm before surgery significantly decreased to 295.6 ± 92.5 μm (p
KW - Diffuse diabetic macular edema
KW - Foveal detachment
KW - Vitrectomy
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UR - http://www.scopus.com/inward/citedby.url?scp=84941413472&partnerID=8YFLogxK
U2 - 10.1007/s10384-015-0390-4
DO - 10.1007/s10384-015-0390-4
M3 - Article
C2 - 26220819
AN - SCOPUS:84941413472
VL - 59
SP - 279
EP - 287
JO - Japanese Journal of Ophthalmology
JF - Japanese Journal of Ophthalmology
SN - 0021-5155
IS - 5
ER -