Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Surgical indications for diabetic maculopathy].

P Gastaud1, Ph Schauer, H Rouhette

  • 1Service d'ophtalmologie, Hôpital Saint Roch, 5 rue P. Devoluy, 06000 Nice, France.

Journal Francais D'Ophtalmologie
|April 10, 2002
PubMed
Summary

Vitrectomy surgery effectively treats diabetic macular edema by releasing tractional forces and removing hard exudates, leading to improved anatomical and functional outcomes. This approach reduces the need for traditional photocoagulation in complex cases.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

FIL-SSF Carlevale intraocular lens for sutureless scleral fixation: 7 recommendations from a serie of 72 cases. MICA study (Multicentric Study of the Carlevale IOL).

Journal francais d'ophtalmologie·2021
Same author

[Uveitis associated with spondylitis: It may be tuberculosis!].

Journal francais d'ophtalmologie·2016
Same author

[Type 3 congenital arteriovenous malformation: Complex multiple direct arteriovenous anastomoses affecting the large retinal vessels].

Journal francais d'ophtalmologie·2015
Same author

[Treatment of postoperative cystoid macular edema (Irvine-Gass syndrome) with dexamethasone 0.7 mg intravitreal implant].

Journal francais d'ophtalmologie·2015
Same author

[Complications of silicone oil tamponade].

Journal francais d'ophtalmologie·2014
Same author

[Successful phacoemulsification in vitrectomized eyes: technical considerations].

Journal francais d'ophtalmologie·2014

Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Diabetic Retinopathy Treatment

Background:

  • Diabetic macular edema (DME) treatment remains challenging, with photocoagulation often yielding unsatisfactory results.
  • Surgery's role in DME management is not fully established, particularly for complex cases.

Purpose of the Study:

  • To evaluate the efficacy of vitrectomy in managing severe diabetic maculopathy where photocoagulation is ineffective or impossible.
  • To assess both anatomical and functional outcomes of surgical intervention for DME.

Main Methods:

  • Retrospective study of 40 diabetic patients with severe maculopathy.
  • Systematic internal limiting membrane dissection, perfluorocarbon liquid use for endophotocoagulation, and gas tamponade.
  • Surgical extraction of hard exudates in 18 cases to address posterior pole involvement.

Related Experiment Videos

Main Results:

  • High anatomical success rate (97.5%).
  • Functional gains varied based on preoperative condition; best outcomes in tractional edema, less in massive exudates.
  • A rare complication included secondary retinal detachment.

Conclusions:

  • Vitrectomy effectively releases vitreomacular traction and facilitates exudate removal, improving serous retinal detachments.
  • Surgical intervention aids in managing capillary anomalies and resorbing macular edema.
  • These findings support reduced reliance on photocoagulation for diffuse DME, favoring surgical approaches.