González CJH, Treviño CEE, Martínez López-Portillo A, González TJL, Dávila VJF, Mohamed HJ

Language: Spanish
References: 22
Page: 200-204
PDF size: 287.63 Kb.

ABSTRACT

Purpose: To determine the importance of fluorescein angiography in planning laser treatment for the clinically significant diabetic macular edema.
Methods: Prospective study of 84 eyes of 54 diabetic patients with clinical significant macular edema, each case was documented with stereoscopic color photographs and a corresponding fluorescein angiogram. The therapeutic plan was established after analyzing twice every case, the first time based only on the photographs and the second time based on both, the photographs and the angiograms. We compared the ability of the retina specialist to plan laser treatment with and without the use of fluorescein angiography.
Results: In 85.7% of cases the ability of the specialist to decide laser treatment after the photograph analysis without the use of fluorescein angiographies was the same compared with the therapeutic plan based upon using the angiograms. 14.3% showed small differences between both analyses.
Conclusions: Fluorescein angiography improves the accuracy of laser treatment planning for clinically significant macular edema.

REFERENCES

1. Patz A, Schatz H, Berkow J. Macular edema. An overlooked complication of diabetic retinopathy. Trans Am Acad Ophthalmol Otolaryngol 1973;77:34-42.

2. Meyers SM. Macular edema after scatter laser photocoagulation for proliferative diabetic retinopathy. Am J Ophthalmol 1980;90:210-6.

3. Aiello LM, Rand LI, Briones JC, Sebestyen JG, et al. Diabetic retinopathy in Joslin Clinic patients with adult-onset diabetes. Ophthalmology 1981;88:619-23.

4. Klein R, Klein BEK, Moss SE, Davis MD, DeMets Dl. The Wisconsin epidemiologic study of diabetic retinopathy. IV. Diabetic macular edema. Ophthalmology 1984;91:1464-74.

5. McMeel JW, Trempe CL, Franks EB. Diabetic maculopathy. Trans Sect Ophthalmol Am Acad Ophthalmol Otolaryngol 1977;83:476-87.

6. Moss SE, Klein R, Klein BE. The incidence of vision loss in a diabetic population. Ophthalmology 1988;95:1340-8.

7. Early Treatment Diabetic Retinopathy Study Research Group. ETDRS Report no. 1. Photocoagulation for diabetic macular edema. Arch Ophthalmol 1985;103:1806-976.

8. Early Treatment Diabetic Retinopathy Study Research Group. ETDRS Report no. 2. Treatment techniques and clinical guidelines for photocoagulation of diabetic macular edema. Ophthalmology 1987;94:761-74.

9. Early Treatment Diabetic Retinopathy Study Research Group. ETDRS Report no. 4. Photocoagulation of diabetic macular edema. Ophthalmology 1987;27:265-72.

10. Blankenship GW. Diabetic macular edema and argon laser photocoagulation: a prospective randomized study. Ophthalmolgy 1979;86:69-78.

11. Photocoagulation for diabetic maculopathy. A randomized controlled clinical trial using the xenon arc. British Multicentre Study Group. Diabetes 1983;32:1010-6.

12. Olk RJ. Modified grid argon (blue-green) laser photocoagulation for diffuse diabetic macular edema. Ophthalmology 1986;93:939-50.

13. Olk RJ. Argon green (514 nm) versus krypton red (647 nm) modified grid laser photocoagulation for diffuse diabetic macular edema. Ophthalmology 1990;97:1101-12.

14. Lee CM, Olk RJ. Modified grid laser photocoagulation for diffuse diabetic macular edema. Long-term visual results. Ophthalmology 1991;98:1594-602.

15. Akduman L, Olk RJ. Laser photocoagulation of diabetic macular edema. Ophthalmic Surg Lasers Imaging 1997;28:387-408.

16. Akduman L, Olk RJ. Diode laser (810 nm) versus argon green (514 nm) modified grid photocoagulation for diffuse diabetic macular edema. Ophthalmology 1997;104:1433-41.

17. Early photocoagulation for diabetic retinopathy. ETDRS Report no. 9. Early Treatment Diabetic Retinopathy Study Research Group. Ophthalmology 1991;98:766-85.

18. Kylstra JA, Brown JC, Jaffe GJ. The importance of fluorescein angiography in planning laser treatment of diabetic macular edema. Ophthalmology 1999;106:2068-73.

19. Techniques for scatter and local photocoagulation treatment for diabetic retinopathy: Early Treatment Diabetic Retinopathy Study Report no. 3. The Early Treatment Diabetic Retinopathy Study Research Group. Int Ophthalmol Clin 1987;27:254-64.

20. The ETDRS Coordinating Center. Early Treatment Diabetic Retinopathy Study (ETDRS) Manual of Operations. Springfield: National Technical Information Center, 1985.

21. Abu el Asrar AM, Morse PH. Laser photocoagulation control of diabetic macular oedema without fluorescein angiography. Br J Ophthalmol 1991;75:97-9.

22. González CJH, Treviño CEE, Cuervo LEE, Martínez-López A, Mohamed HJ. Tratamiento del edema macular diabético clínicamente significativo con láser ND:Yag subumbral de doble frecuencia. Medicina Universitaria 2008;10(41):190-9.