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Diabetic Macular Edema: One Surgery or 30 Injections ?

Diabetic Macular Edema: One Surgery or 30 Injections ? ABSTRACT Diabetes is a disease whose incidence is increasing throughout the entire world. The most common cause of blindness of all the ocular complications of diabetes is macular edema. Today we have numerous treatment options to offer to the patient: corticosteroid and antiVEGF injections into the vitreous cavity as well as certain implants. While most of these medications are...

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Severe Eye Injuries: The Trouble with Being Late

Severe Eye Injuries: The Trouble with Being Late ABSTRACT The “when” is just as an important question in the surgical intervention for eyes with posterior segment injury as is the “what”. Identifying the ideal timing (staging) of vitreoretinal surgery is thus crucial as the most optimal management strategy is selected. Delaying posterior segment surgery beyond two weeks, which is unfortunately too often seen in...

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DME: 15 Injections or 1 Surgery?

Advantages: The first author has operated on over 600 eyes with DME in the last two decades. Surgery is typically a one-time intervention, unlike intraocular injections. Methods: Complete vitrectomy with detachment of the triamcinolone-marked posterior hyaloid face. This is followed by removal of the internal limiting membrane (ILM), stained by Indocyanine green. While pneumoretinopexy used to be employed earlier, a preoperative...

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