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At 1-year follow-up, she developed progression of TRD involving the macula in the left eye for which she was advised surgery. She did not follow-up for 6 months during which time she had adopted a coconut oil-rich ketogenic diet. She reported losing 25\u2009kg body weight along with reversal of diabetes (Glycosylated Haemglobin (HbA1C) of 5.3% without insulin) in the interim. During this 2-year follow-up visit, it was found that there was complete resolution of macular detachment due to TRD in the left eye with stable vision. This was attributed to the impactful ketogenic diet.<\/jats:p>","DOI":"10.1136\/bcr-2020-235873","type":"journal-article","created":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T16:40:18Z","timestamp":1604162418000},"page":"e235873","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Reversal of diabetic tractional retinal detachment attributed to keto diet"],"prefix":"10.1136","volume":"13","author":[{"given":"Priya","family":"Chandrasekaran","sequence":"first","affiliation":[{"name":"Academy of Education and Child Sight Institute, LV Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7069-8238","authenticated-orcid":false,"given":"Padmaja Kumari","family":"Rani","sequence":"additional","affiliation":[{"name":"Smt Kanuri Santhamma Centre for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,10,31]]},"reference":[{"key":"2025082707421305000_13.10.e235873.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.321.7258.405"},{"key":"2025082707421305000_13.10.e235873.2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.317.7160.703"},{"key":"2025082707421305000_13.10.e235873.3","doi-asserted-by":"crossref","first-page":"798","DOI":"10.1111\/jdi.13264","article-title":"Clinical evidence regarding factors linking metabolic abnormal obesity to pancreatic \u03b2-cell dysfunction","volume":"11","author":"Watada","year":"2020","journal-title":"J Diabetes Investig"},{"key":"2025082707421305000_13.10.e235873.4","doi-asserted-by":"crossref","first-page":"189","DOI":"10.31128\/AJGP-09-19-5091","article-title":"Type 2 diabetes and the medicine of exercise: the role of general practice in ensuring exercise is part of every patient's plan","volume":"49","author":"Williams","year":"2020","journal-title":"Aust J Gen Pract"},{"key":"2025082707421305000_13.10.e235873.5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0018604"},{"key":"2025082707421305000_13.10.e235873.6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa022637"},{"key":"2025082707421305000_13.10.e235873.7","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1007\/s11695-014-1348-1","article-title":"Very low-carbohydrate ketogenic diet before bariatric surgery: prospective evaluation of a sequential diet","volume":"25","author":"Leonetti","year":"2015","journal-title":"Obes Surg"},{"key":"2025082707421305000_13.10.e235873.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.nut.2014.06.011"},{"key":"2025082707421305000_13.10.e235873.9","doi-asserted-by":"publisher","DOI":"10.2337\/dci19-0014"},{"key":"2025082707421305000_13.10.e235873.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-018846"},{"key":"2025082707421305000_13.10.e235873.11","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1080\/17446651.2018.1523713","article-title":"Implementing a low-carbohydrate, ketogenic diet to manage type 2 diabetes mellitus","volume":"13","author":"Westman","year":"2018","journal-title":"Expert Rev Endocrinol Metab"},{"key":"2025082707421305000_13.10.e235873.12","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.plefa.2017.10.004","article-title":"Coconut phytocompounds inhibits polyol pathway enzymes: implication in prevention of microvascular diabetic complications","volume":"127","author":"Sheela","year":"2017","journal-title":"Prostaglandins Leukot Essent Fatty Acids"},{"key":"2025082707421305000_13.10.e235873.13","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.114.103010"},{"key":"2025082707421305000_13.10.e235873.14","doi-asserted-by":"crossref","unstructured":"Wong MYZ , REK M , Fenwick EK , et al . 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