Evaluation of Vitrectomy with Planned Foveal Detachment as Surgical Treatment for Refractory Diabetic Macular Edema with or without Vitreomacular Interface Abnormality

Figure 2

(a) Right eye: preoperative red free color-coded map showing marked DME with cystoid and neurosensory detachment shown in the OCT image, disruption of both ellipsoid zone, and ELM, with CMT measuring 639 microns after 8 IVR injections and 3 IVA injections over 1 year with BCVA equals 0.06. (b) Color fundus photo and OCT image of the same eye after two IVTA injections with CMT improving to 557 microns, but BCVA remained at 0.06. (c) Subretinal BSS injection after ILM peeling done at 2 different sites to cover the entire area of edema. (d) OCT image showing complete resolution of edema 4 weeks postoperatively with a CMT of 232 microns and BCVA of 0.16. The ellipsoid zone and ELM integrity were not regained. (e) CMT measured 10.2 months later equals 235 microns with stable BCVA.

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