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Direct Photocoagulation Guided by Merged Retinal Images for the Treatment of Focal Diabetic Macular Edema
Joint Authors
Takamura, Yoshihiro
Matsumura, Takehiro
Arimura, Shogo
Gozawa, Makoto
Morioka, Masakazu
YutakaYamada, Masakazu
Inatani, Masaru
Source
International Journal of Endocrinology
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-03-12
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Purpose.
To introduce a novel laser photocoagulation (PC) protocol named merged image-guided PC (MIG-PC), which included merging the images of the fundus, optical coherence tomography (OCT) map, and fluorescein angiography (FA).
We compared the anatomical and functional results between MIG-PC and FA-guided PC (FG-PC) for the treatment of focal diabetic macular edema (DME).
Method.
We examined the treatment outcomes in 27 consecutive eyes treated with MIG-PC compared with 28 matched eyes treated with FG-PC.
We identified the microaneurysms (MAs) located in the focal edema areas and ablated them using focal PC.
Best-corrected visual acuity (BCVA) and retinal thickness (RT) measured using OCT were compared between the groups at baseline and 2, 4, 8, 12, and 24 weeks after treatment.
Results.
The foveal and perifoveal RT were reduced after treatment in both the groups, and the perifoveal RT in the MIG-PC group was significantly lower than that in the FG-PC group at 4 weeks and thereafter.
BCVA in the MIG-PC group was significantly higher than that in the FG-PC group at 12 and 24 weeks.
The numbers of laser spots (p=0.0001), additional laser treatments (p=0.0121), and intravitreal injection of ranibizumab (p=0.0012) in the MIG-PC group were significantly lower than those in the FG-PC group (Mann–Whitney test).
Conclusion.
MIG-PC contributed to the improvement in BCVA and reduction in RT, number of laser shots required, and retreatment rates.
Based on our data, MIG-PC can be recommended for the treatment of focal DME.
This trial is registered with ID UMIN000030390.
American Psychological Association (APA)
Takamura, Yoshihiro& Matsumura, Takehiro& Arimura, Shogo& Gozawa, Makoto& Morioka, Masakazu& YutakaYamada, Masakazu…[et al.]. 2018. Direct Photocoagulation Guided by Merged Retinal Images for the Treatment of Focal Diabetic Macular Edema. International Journal of Endocrinology،Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1171167
Modern Language Association (MLA)
Takamura, Yoshihiro…[et al.]. Direct Photocoagulation Guided by Merged Retinal Images for the Treatment of Focal Diabetic Macular Edema. International Journal of Endocrinology No. 2018 (2018), pp.1-7.
https://search.emarefa.net/detail/BIM-1171167
American Medical Association (AMA)
Takamura, Yoshihiro& Matsumura, Takehiro& Arimura, Shogo& Gozawa, Makoto& Morioka, Masakazu& YutakaYamada, Masakazu…[et al.]. Direct Photocoagulation Guided by Merged Retinal Images for the Treatment of Focal Diabetic Macular Edema. International Journal of Endocrinology. 2018. Vol. 2018, no. 2018, pp.1-7.
https://search.emarefa.net/detail/BIM-1171167
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1171167