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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2006, Number 3

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Rev Mex Oftalmol 2006; 80 (3)

Evaluación del campo visual en pacientes diabéticos tratados con fotocoagulación panretiniana

Flores-Peredo V, Robredo-Torres V, Graue-Wiechers F

Language: Spanish
References: 21
Page: 116-125
PDF size: 780.51 Kb.


ABSTRACT

Introduction: Panretinal photocoagulation has been the mainstay of treatment for diabetic patients with proliferative diabetic retinopathy.
Purpose: To evaluate the visual field in patients with proliferative diabetic retinopathy after panretinal photocoagulation.
Methods: We included 20 eyes of 16 patients with proliferative diabetic retinopathy with best corrected visual acuity of 20/200 or better, clear media, a reliable Humphrey visual field, angiography and stereoscopic photographs before laser treatment.
We excluded patients with glaucoma, unreliable visual field test, and best corrected visual acuity of 20/200 or worse. We performed panretinal photocoagulation in 2 sessions of 900 spots, the first one in the inferior half and the second in the superior one. Follow-up was at 6 and 9 weeks after treatment, with angiography and visual field test.
Conclusions: Photocoagulation in patients with diabetic retinopathy must be individualized. Diabetic retinopathy evolution has a direct influence in the visual field damage parallel to laser application.


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