Wang L, Chen CJ, Wang ML, Huang Y, Fang LJ. Effects of vitrectomy combined with internal limiting membrane peeling in patients with diabetic macular edema. World J Clin Cases 2024; 12(21): 4491-4498 [PMID: 39070848 DOI: 10.12998/wjcc.v12.i21.4491]
Corresponding Author of This Article
Li-Jian Fang, Doctor, Associate Chief Physician, Department of Ophthalmology, Liangxiang Hospital of Beijing Fangshan District, No. 45 Gongchen Street, Liangxiang, Fangshan District, Beijing 102400, China. lijianf2023321@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
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World J Clin Cases. Jul 26, 2024; 12(21): 4491-4498 Published online Jul 26, 2024. doi: 10.12998/wjcc.v12.i21.4491
Table 1 Baseline demographic and clinical data of the study participants (n = 81, 92 eyes)
Group (number of cases/eyes affected)
Gender (n)
Age, mean ± SD (yr)
Diabetes classification (n)
Intraocular pressure, mean ± SD (mmHg)
Duration of diabetes, mean ± SD (yr)
Male
Female
Type I
Type II
Control group (41/47)
21
20
51.46 ± 8.41
8
33
15.16 ± 2.77
10.06 ± 2.91
Stripping group (40/45)
17
23
53.73 ± 9.56
11
29
15.23 ± 3.83
10.03 ± 3.22
t/χ2
0.618
1.135
0.720
0.094
0.044
P value
0.432
0.260
0.396
0.925
0.965
Table 2 Comparison of central macular thickness between the two study groups (n = 92 eyes)
Group (number of affected eyes)
CMT (μm) (mean ± SD)
F
P value
Preoperative
1 month after surgery
3 months after surgery
Control group (n = 47)
383.83 ± 84.31
334.37 ± 95.46
270.95 ± 76.24
Fgroup = 8.854
Pintergroup = 0.004
Stripping group (n = 45)
372.75 ± 104.76
262.35 ± 83.85
214.48 ± 69.69
Ftime = 500.634
Ptime < 0.001
t
0.560
3.838
3.703
Finteraction = 7.403
Pinteraction = 0.001
P value
0.577
< 0.001
< 0.001
Table 3 Comparison of best-corrected visual acuity levels between the two study groups (n = 92 eyes)
Group (number of affected eyes)
BCVA (logMAR) (mean ± SD)
F
P value
Before surgery
1 month after surgery
3 months after surgery
Control group (n = 47)
1.84 ± 0.64
1.39 ± 0.54
1.04 ± 0.39
Fgroup = 7.978
Pintergroup = 0.006
Stripping group (n = 45)
1.67 ± 0.46
1.03 ± 0.32
0.79 ± 0.30
Ftime = 441.237
Ptime < 0.001
t
1.457
3.868
0.436
Finteraction = 17.105
Pinteraction < 0.001
P value
0.149
< 0.001
< 0.001
Table 4 Comparison of the volume of cystoid macular edema between the two groups (n = 92 eyes)
Group (number of affected eyes)
Macular edema cyst volume (mm3) (mean ± SD)
F
P value
1 week after surgery
1 month after surgery
3 months after surgery
Control group (n = 47)
12.77 ± 1.58
12.06 ± 1.28
11.19 ± 1.30
Fgroup = 9.374
Pintergroup = 0.003
Stripping group (n = 45)
12.89 ± 1.27
10.99 ± 1.34
9.57 ± 1.34
Ftime = 1838.956
Ptime < 0.001
t
0.400
3.917
5.886
Finteraction = 210.654
Pinteraction < 0.001
P value
0.690
< 0.001
< 0.001
Citation: Wang L, Chen CJ, Wang ML, Huang Y, Fang LJ. Effects of vitrectomy combined with internal limiting membrane peeling in patients with diabetic macular edema. World J Clin Cases 2024; 12(21): 4491-4498