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Diabetic Macular Holes, They Simply Close

ABSTRACT Purpose: To report surgical experience with vitrectomy for macular holes associated with diabetic maculopathy. Methods: In tis case series different approaches were used for management of macular holes complicating diabetic retinopathy, including just ILM peeling, ILM peeling with hole edges massage, or inverted flap ILM peeling. Results: There was varying functional results probably unrelated to the technique used. However...

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Optimizing the Result of Diabetic Vitrectomy in Advanced Cases

ABSTRACT Purpose: To discuss how to increase the success rate of surgery in advanced diabetic vitrectomy as regard to safety and efficacy of surgical procedures. Materials & Methods: This topic discuss the value of adding phacoemulsification to diabetic vitrectomy especially in old age. The use of bimanual techniques and the magic of dissection using two hands and also the use of air and its role in advanced cases. Results &...

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Diabetic Delamination Surgery

ABSTRACT Using surgical videos, the authors will present their techniques for diabetic delamination surgery including the use of 27/25g hybrid vitrectomy, bimanual dissection, viscodissection and peri-operative use of intravitreal anti-VEGF and Ozurdex implant. The authors will also defend their view that ‘ less is more’ when undertaking diabetic TRD surgery, as opposed to the classic teaching of attempting to remove all...

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Vitrectomy for Non Tractional DME: Is It Worth?

ABSTRACT Some years ago, the option of PPV as a therapeutic approach to DME was popular, but it is now outdated: intravitreal injections are the standard of care. But being outdated, doesn’t mean being useless. There is no doubt that the aim of whatever therapy we decide to try for VASCULAR edema must target the neuroinflammation that is the cause of it, but this is not the point. The Qs are two: Can vitrectomy be used as an...

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Biomarkers and Predictors for Functional and Anatomic Outcomes for Pars Plana Vitrectomy and Peeling of the Internal Limiting Membrane in Naïve Diabetic Macular Edema. The VITAL Study

ABSTRACT Aim: To evaluate the role of small gauge PPV as a first line treatment for naïve DME with a follow-up of 24 months and to investigate biomarkers and predictive factors for visual and anatomical outcome. Patients & Method: One hundred and twenty eyes, from 120 patients with a mean age of 67.0±14.9 years, were evaluated. Results: The mean baseline BCVA was 0.66 ± 0.14 logMAR, improved to 0.52 ± 0.21 logMAR after 12...

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Intravitreal Fluocinolone Acetonide (Iluvien®) Injection in Eyes Unresponsive to Previous Antiangiogenic Therapy for Diabetic Macular Edema. Comparison of a Real Life Results with Clinical Trials Outcomes

ABSTRACT Introduction: Diabetes mellitus is a chronic metabolic disease whereby blood glucose is poorly regulated, causing increased levels of blood glucose over a prolonged period. Hyperglycemia leads to long-term damage, dysfunction, and failure of several organs. Diabetes includes macrovascul ar and microvascular complications. Diabetic Retinopathy (DR) is a chronic microvascular complication and is the world’s leading cause of...

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