Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes

Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes

Yuichi Asahina, Naoko Tachi, Yumi Asahina, Kayoko Yoshimura, Yoshiki Ueta, Yoshihiro Hashimoto Eye Center, Shinseikai Toyama Hospital, Imizu, Toyama, Japan Purpose: This study evaluated the outcomes of surgical cystotomy for recurrent diabetic cystoid macular edema (CME).Patients and methods: We a...

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Autores principales: Asahina Y, Tachi N, Yoshimura K, Ueta Y, Hashimoto Y
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2017
Materias:
Diabetic retinopathy
Cystoid macular edema
Intraoperative OCT
Cystectomy
Ophthalmology
RE1-994
Acceso en línea:https://doaj.org/article/09144a975e2b463ab4f20fd78186ff0a
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spelling oai:doaj.org-article:09144a975e2b463ab4f20fd78186ff0a2021-12-02T00:16:28ZSix-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes1177-5483https://doaj.org/article/09144a975e2b463ab4f20fd78186ff0a2017-11-01T00:00:00Zhttps://www.dovepress.com/six-month-postoperative-outcomes-of-intraoperative-oct-guided-surgical-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Yuichi Asahina, Naoko Tachi, Yumi Asahina, Kayoko Yoshimura, Yoshiki Ueta, Yoshihiro Hashimoto Eye Center, Shinseikai Toyama Hospital, Imizu, Toyama, Japan Purpose: This study evaluated the outcomes of surgical cystotomy for recurrent diabetic cystoid macular edema (CME).Patients and methods: We analyzed 20 eyes with a clinical diagnosis of diabetic retinopathy and refractory CME. Release of vitreoretinal adhesion, epiretinal membrane (ERM) and internal limiting membrane (ILM) peeling and cystotomy guided by intraoperative optical coherence tomography (iOCT) were performed in every patient. Pars plana vitrectomy was also performed in 17 patients, 11 of whom also underwent lensectomy and intraocular lens implantation. Central retinal thickness (CRT), central minimum macular thickness (CMMT), macular volume (MV) and best-corrected visual acuity (BCVA) were compared preoperatively and 1 and 6 months post surgery.Results: CRT, CMMT and MV significantly improved 1 and 6 months post surgery in each group (P<0.01). Significant improvements in BCVA were only observed 6 months post surgery (P<0.01). No intra- or postoperative complications were observed in all patients.Conclusion: CRT, CMMT, MV and BCVA significantly improved 6 months following surgical cystectomy. This implies that iOCT-guided cystotomy could be another treatment option for refractory CME in diabetic eyes. Keywords: diabetic retinopathy, cystoid macular edema, intraoperative OCT, cystotomyAsahina YTachi NAsahina YYoshimura KUeta YHashimoto YDove Medical PressarticleDiabetic retinopathyCystoid macular edemaIntraoperative OCTCystectomyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 2099-2105 (2017)
institution DOAJ
collection DOAJ
language EN
topic Diabetic retinopathy
Cystoid macular edema
Intraoperative OCT
Cystectomy
Ophthalmology
RE1-994
spellingShingle Diabetic retinopathy
Cystoid macular edema
Intraoperative OCT
Cystectomy
Ophthalmology
RE1-994
Asahina Y
Tachi N
Asahina Y
Yoshimura K
Ueta Y
Hashimoto Y
Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
description Yuichi Asahina, Naoko Tachi, Yumi Asahina, Kayoko Yoshimura, Yoshiki Ueta, Yoshihiro Hashimoto Eye Center, Shinseikai Toyama Hospital, Imizu, Toyama, Japan Purpose: This study evaluated the outcomes of surgical cystotomy for recurrent diabetic cystoid macular edema (CME).Patients and methods: We analyzed 20 eyes with a clinical diagnosis of diabetic retinopathy and refractory CME. Release of vitreoretinal adhesion, epiretinal membrane (ERM) and internal limiting membrane (ILM) peeling and cystotomy guided by intraoperative optical coherence tomography (iOCT) were performed in every patient. Pars plana vitrectomy was also performed in 17 patients, 11 of whom also underwent lensectomy and intraocular lens implantation. Central retinal thickness (CRT), central minimum macular thickness (CMMT), macular volume (MV) and best-corrected visual acuity (BCVA) were compared preoperatively and 1 and 6 months post surgery.Results: CRT, CMMT and MV significantly improved 1 and 6 months post surgery in each group (P<0.01). Significant improvements in BCVA were only observed 6 months post surgery (P<0.01). No intra- or postoperative complications were observed in all patients.Conclusion: CRT, CMMT, MV and BCVA significantly improved 6 months following surgical cystectomy. This implies that iOCT-guided cystotomy could be another treatment option for refractory CME in diabetic eyes. Keywords: diabetic retinopathy, cystoid macular edema, intraoperative OCT, cystotomy
format article
author Asahina Y
Tachi N
Asahina Y
Yoshimura K
Ueta Y
Hashimoto Y
author_facet Asahina Y
Tachi N
Asahina Y
Yoshimura K
Ueta Y
Hashimoto Y
author_sort Asahina Y
title Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title_short Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title_full Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title_fullStr Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title_full_unstemmed Six-month postoperative outcomes of intraoperative OCT-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
title_sort six-month postoperative outcomes of intraoperative oct-guided surgical cystotomy for refractory cystoid macular edema in diabetic eyes
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/09144a975e2b463ab4f20fd78186ff0a
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AT tachin sixmonthpostoperativeoutcomesofintraoperativeoctguidedsurgicalcystotomyforrefractorycystoidmacularedemaindiabeticeyes
AT asahinay sixmonthpostoperativeoutcomesofintraoperativeoctguidedsurgicalcystotomyforrefractorycystoidmacularedemaindiabeticeyes
AT yoshimurak sixmonthpostoperativeoutcomesofintraoperativeoctguidedsurgicalcystotomyforrefractorycystoidmacularedemaindiabeticeyes
AT uetay sixmonthpostoperativeoutcomesofintraoperativeoctguidedsurgicalcystotomyforrefractorycystoidmacularedemaindiabeticeyes
AT hashimotoy sixmonthpostoperativeoutcomesofintraoperativeoctguidedsurgicalcystotomyforrefractorycystoidmacularedemaindiabeticeyes
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