الفهرس 
EPIDEMIOLOGYOnly 14 pages are availabe for public view
 |  | from | 79 |  |  |
| | | from | 79 | | |
Abstract
With increasing prevalence of diabetesW mellitus and
increasing life span of persons with diabetes, diabetic
retinopathy (DR) is set to be the leading global cause of vision
loss in many countries
The exact pathogenesis of DME is still unclear. Recent
evidence indicates that diabetic retinopathy (DR) is a
neurovascular disease of the retina. Retinal neuronal abnormalities
are present well before the retinal microvascular injury.
Patients with tractional DME has blurring of vision, loss
of contrast sensitivity and color vision, metamorphopsia that
can be demonstrated on Amsler grid.
Optical Coherence Tomography (OCT) allows noninvasive
visualization and imaging of vitreomacular interface
and is an important tool in the diagnosis and management of
VMT syndrome.
Pars plana vitrectomy (PPV) with or without ILM
peeling is the best line of treatment for symptomatic VMT, to
release VMA in order to restore normal central retinal
architecture.
The vision is significantly improved in both ILM & non-
ILM peeled groups, but non-ILM peeled group had better
visual gain and final BCVA than ILM peeled group. CFT reduction occurred significantly in both groups after
PPV. But the final CFT was much less in ILM peeled group.
Complete resolution of macular edema was seen in ILM peeled
group.
PPV with or without ILM peeling don’t cause or impair
any disruption of retinal photoreceptors, RPE, and ELM.