Vitrectomy in Nontractional Macular Edema: Is there a ration
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The role of pars plana vitrectomy for diabetic macular edema (DME) has been discussed, but it has not been fully assessed in the literature. In the case of vitreomacular traction or tractional epiretinal membrane (ERM), vitrectomy is also recommended because of the presence of anteroposterior and tangential vitreomacular traction, which play a fundamental role in the patient’s prognosis. Also, some authors have reported a beneficial effect of vitrectomy even in patients without macular traction. In patients with non-tractional DME treated with vitrectomy and intravitreal injections, there is a significant anatomical enhancement in terms of macular thinning after vitrectomy, which is strongly supported by previous work on this topic.

Further information about injection vs vitrectomy, vitrectomy for subfoveal serous detachment, peeling the inner limiting membrane are discussed in the posters attached.

Source: https://www.retinalphysician.com/issues/2020/june-2020/vitrectomy-in-nontractional-macular-edema
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