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Vitrectomy may be cost-effective alternative to pharmacotherapy in DME
FLORENCE, Italy — In well-selected cases, vitrectomy might be a good and cost-effective alternative to pharmacotherapy for the treatment of diabetic macular edema, according to one specialist. At the FLOREtina meeting, J. Fernando Arevalo, MD, said that there is a rationale for vitrectomy because surgery removes traction, eliminates vasoproliferative factors, improves oxygenation and consequently reduces edema. However, the use of vitrectomy in DME is not supported by good clinical evidence.