Planned foveal detachment technique for the resolution of diffuse diabetic macular edema

Yuki Morizane, Shuhei Kimura, Mio Hosokawa, Yusuke Shiode, Masayuki Hirano, Shinichiro Doi, Mika Hosogi, Atsushi Fujiwara, Yasushi Inoue, Fumio Shiraga

Research output: Contribution to journalArticle

7 Citations (Scopus)

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 languageEnglish
Pages (from-to)279-287
Number of pages9
JournalJapanese Journal of Ophthalmology
Volume59
Issue number5
DOIs
Publication statusPublished - Jul 30 2015

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Macular Edema
Vitrectomy
Visual Acuity
Prone Position
Retinal Detachment
Needles
Salts
Air
Outcome Assessment (Health Care)
Therapeutics

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 journalArticle

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