Membrane peeling in the proliferative diabetic retinopathy.
Author: Marfuga Oteuliyeva (Kazakhstan)
Co-authors: Dastan Kyrykbayev, Marfuga Oteuliyeva
To evaluate the effectiveness of internal limiting membrane (ILM) removal in the treatment of proliferative diabetic retinopathy.
A 72-year-old female patient was admitted to the hospital with diagnosis: OS - Proliferative diabetic retinopathy. Full thickness macular hole. Pseudophakia. Visual acuity OS = 6/600. Vazakh Order of the "Badge of Honor" Research Institute of Eye Diseases.
HPI Posterior capsule rupture during cataract surgery with IOL implantation (MA) 13 years ago. Panretinal laser photocoagulation 4 years ago. Surgery A three-port 25G vitrectomy following the removal of ILM and glial tissues using a 27 G forceps with preliminary staining by using Diprospan (2 mg betamethasone disodium phosphate and 5 mg betamethasone dipropionate in 1 ml) and 0,18% trypan blue, thermocoagulation of bleeding vessels without additional retinal laser photocoagulation.
Pneumatic retinopexy following silicone oil tamponade with sutureless self-sealing scleratomies was performed. The postoperative period passed without complications. OS visual acuity = 6/600, best corrected visual acuity = 6/100. Central foveal thickness by Swept-Source Optical Coherence Tomography (Topcon Corp, Tokyo, Japan): Before surgery – 553 µm; After surgery - 326 µm
1) ILM peeling is effective and safe method in the proliferative diabetic retinopathy. 2) Staining by Diprospan and the dye for ILM peeling facilitates the visualization and removal of glial tissues as completely as possible.
Kazakh Order of the "Badge of Honor" Research Institute of Eye Diseases.
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