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Choroidal neovascularisation after surgical removal of submacular lipid plaques in diabetic maculopathy

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Abstract

Background

We report a case of choroidal neovascularisation (CNV) that developed after surgical removal of submacular lipid plaques secondary to diabetic maculopathy.

Methods

A 73-year-old man with diabetic maculopathy underwent standard pars plana vitrectomy and surgical removal of the submacular lipid plaques.

Results

Preoperative visual acuity was 20/200. Funduscopy revealed a macular oedema and subretinal lipid plaques at the macula. Nine months after surgery visual acuity had dropped to 20/320 and subfoveal CNV was diagnosed by fluorescein angiography. Observational management was chosen. At the last examination, 27 months after surgery, visual acuity had worsened to 20/500 and a CNV scar was seen at the macula.

Conclusions

CNV development should be kept in mind as a possible complication of surgical removal of submacular lipid plaques in patients with diabetic retinopathy.

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Authors and Affiliations

  1. Centre for Ophthalmology, University of Tübingen, Schleichstrasse 12, 72076, Tübingen, Germany

    Daniela Suesskind, Faik Gelisken & Karl U. Bartz-Schmidt

Authors
  1. Daniela Suesskind
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  2. Faik Gelisken
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  3. Karl U. Bartz-Schmidt
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Corresponding author

Correspondence to Faik Gelisken.

Additional information

The authors have no financial interest related to the manuscript.

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Suesskind, D., Gelisken, F. & Bartz-Schmidt, K.U. Choroidal neovascularisation after surgical removal of submacular lipid plaques in diabetic maculopathy. Graefe's Arch Clin Exp Ophthalmol 245, 606–608 (2007). https://doi.org/10.1007/s00417-006-0435-y

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  • DOI: https://doi.org/10.1007/s00417-006-0435-y

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