Internal Limiting Membrane Peeling for Diffuse Tractional Diabetic Macular Oedema

Abstract

Aim : To determine the efficacy of internal limiting membrane [ILM] peeling vitrectomy for diffuse tractional diabetic macular oedema Patients and methods : A prospective non - randomized interventional study was carried out at Nour- EL-Hayaha Eye Center [Cairo] between March, 2015 and March, 2017.40 eyes of 31 patients with symptomatic marked diminution of vision and tractional diabetic macular oedema were enrolled in this study. Ocular examinations included measurements of best corrected visual acuity [BCVA] at a distance using a logarithm of the minimum angle of resolution [logMAR] scale, refractive status using an autorefractometer [KR-8100; Topcon corporation, Tokyo, Japan] , IOP was measured by Goldman applanation tonometry [CT-80; Topcon corporation, Tokyo, Japan] , and fundus evaluation using an indirect ophthalmoscope were obtained.23-gauge vitrectomy with internal limiting membrane peeling assisted by staining by brilliant blue G stain [BBG] were performed for all patients with a follow -up period at least 6 months. Spectral domain optical coherent tomography [SD OCT] images were obtained at the follow -up visits to determine the presence of an epiretinal membrane [ERM] Results : At 6 months there was a median 200Mu decrease from baseline in the central subfield thickness [P.