Surgical Therapy for Macular Edema: What We Have Learned through the Decades


Bae J. H. , Al-khersan H., Yannuzzi N. A. , Hasanreisoglu M., Androudi S., Albini T. A. , ...More

OCULAR IMMUNOLOGY AND INFLAMMATION, vol.27, no.8, pp.1242-1250, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Review
  • Volume: 27 Issue: 8
  • Publication Date: 2019
  • Doi Number: 10.1080/09273948.2019.1672194
  • Journal Name: OCULAR IMMUNOLOGY AND INFLAMMATION
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1242-1250
  • Keywords: Diabetic retinopathy, macular edema, retinal vein occlusion, review, surgical therapy, uveitis, vitrectomy, PARS-PLANA VITRECTOMY, ENDOTHELIAL GROWTH-FACTOR, RETINAL VEIN OCCLUSION, LIMITING MEMBRANE, VISUAL-ACUITY, DIABETIC-RETINOPATHY, NATURAL-HISTORY, EYES, OUTCOMES, INFLAMMATION
  • Gazi University Affiliated: Yes

Abstract

Macular edema is a leading cause of functional visual loss in retinal vascular or ocular inflammatory diseases. Because persistent macular edema can lead to irreversible retinal damage, multi-approached treatment should be considered to achieve complete resolution of macular edema. With an enhanced understanding of its pathophysiology, numerous therapeutic options have been developed for the management of macular edema over the decades. Although medical therapies account for the mainstay of treatment, surgical approaches with vitrectomy can play an important role in the management of macular edema, depending on its mechanism of fluid accumulation. The index review focuses on the efficacy of surgical therapy for macular edema secondary to various ocular diseases including diabetic retinopathy, uveitis, and retinal vein occlusion, and consequently provides the evidences that may expand the knowledge and support the employment of surgical options.