Diabetic vitreopapillary traction and macular oedema

Eye
M KaratasA Ophir

Abstract

To describe an association between optic disc traction and diabetic macular oedema (DME) unresponsive to laser treatment. A retrospective review of all patients with DME who attended our clinic between September 2001 and November 2003 was undertaken. The patients had undergone ophthalmic history and examination, fluorescein angiography, and optical coherence tomography (OCT) of the macular area and optic nerve head (ONH). A total of 10 nonvitrectomized eyes that were found to have an elevation of the ONH secondary to vitreopapillary traction were included in the analysis. Eyes with additional traction at the posterior pole were excluded. Out of the 10 eyes (seven patients, aged 47-79 years) with vitreo-papillary traction, nine had previously undergone argon laser photocoagulation(s) for DME. In seven eyes (seven patients), OCT verified the vitreopapillary traction as the sole traction, whereas in the fellow eyes of three patients vitreomacular traction was evident as well. In the seven eyes with only vitreopapillary traction, OCT demonstrated parapapillary serous retinal detachment in two eyes and a diffuse DME in all eyes (mean foveal thickness, 396+/-144 microm). Maximal thickness of the papillo-macular bundle site was adjoin...Continue Reading

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Citations

Oct 14, 2011·Journal of Ocular Pharmacology and Therapeutics : the Official Journal of the Association for Ocular Pharmacology and Therapeutics·Pei-Chen WuChien-Neng Kuo
Apr 10, 2009·Retina·Michelle Y WangJerry Sebag
Jun 19, 2007·Survey of Ophthalmology·Rukhsana G MirzaLee M Jampol
Feb 20, 2007·Acta Ophthalmologica Scandinavica·Carsten H MeyerPeter Kroll
Oct 1, 2015·Journal of Ophthalmology·Mario R RomanoGiovanni Cennamo
Apr 30, 2020·Ophthalmic Surgery, Lasers & Imaging Retina·Bernardete PessoaJoão Melo-Beirão
Nov 7, 2015·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Yu Cheol Kim, Jae Pil Shin
Apr 3, 2021·Journal of the Neurological Sciences·Laura Donaldson, Edward Margolin

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