PDR & Diabetic macular hole by Dr Sherif Sheta Professor of Ophthalmology Cairo University скачать в хорошем качестве

PDR & Diabetic macular hole by Dr Sherif Sheta Professor of Ophthalmology Cairo University

An Insulin dependent diabetic patient who is on renal dialysis presented with diminution of vision in his left eye. Examination revealed posterior sub-capsular cataract, PDR and a large chronic macular hole. A combined phaco vit was done under local anesthesia. Phacoemulsification with implantation of a foldable acrylic IOL was followed by a 23 G vitrectomy. The posterior hyaloid was separated followed by ILM peeling using membrane blue stain.A temporal hinged ILM flap was used to cover the MH followed by laser photocoagulation to the ischemic areas and fluid/air exchange. The patient was asked to adopt a part time face-down positioning for one week. Postoperative OCT confirmed closure of the macular hole with improvement of vision from counting fingers to 6/60.