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PureSee Kesintisiz Yüksek Kalitede Görüş
Retina-Vitreous 2025 , Vol 34 , Num 4
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Evaluation of Optical Coherence Tomography Parameters in Diabetic Macular Edema Patients Who Underwent Phacoemulsification and Intravitreal Bevacizumab
Selma Mesen1, Batuhan Suna1, Ali Mesen1
Sutcu Imam University Health Practice and Research Hospital, ophthalmology, Kahramanmaras, Türkiye DOI : 10.37845/ret.vit.2025.34.40 Purpose: To evaluate optical coherence tomography (OCT) findings after simultaneous phacoemulsification and bevacizumab injection in diabetic macular edema (DME) cases.

Material-Method: Preoperative and postoperative OCT images of the cases were analyzed retrospectively. Initial and final best corrected visual acuity (BCVA), central macular thickness (CMT), epiretinal membrane (ERM), presence of vitreomacular traction (VMT), disorganization of the retinal inner layers (DRIL), ellipsoid zone (EZ) and external limiting membrane (ELM) disruption length were recorded.

Results: Initial and postoperative BCVA of the 16 included patients were 0.82±0.38 and 0.56±0.45 logMAR (p=0.02), respectively. While no significant difference was found between the initial and postoperative CMT (249.31±128.92 vs. 292.75±186.75 ?m p=0.15), DRIL length increased significantly (444.60±290.81 vs. 585.40±324.10 ?m p=0.02). There was a strong correlation between preoperative DRIL length and postoperative BCVA (p<0.05, r=0.78).

Conclusion: Simultaneous phacoemulsification and IVB treatment in DME cases may lead to an increase in DRIL length. The use of OCT parameters may be useful to estimate the final BCVA in these cases. Keywords : Diabetic macular edema, phacoemulsification, optical coherence tomography, intravitreal bevacizumab

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