DYNAMICS OF STRUCTURAL AND FUNCTIONAL STATE OF MACULAE IN LASER TREATMENT OF FOCAL DIABETIC MACULAR EDEMA
https://doi.org/10.51523/2708-6011.2012-9-4-9
Abstract
The laser treatment of patients with focal diabetic macular edema (DME) has been conducted by the standard method (the control group of 47 eyes) and by the method developed by us (the main group of 100 eyes). The dynamic post-operative follow-up throughout the year showed a statistically significant advantage of the proposed method in improving the morphometric and functional parameters of the retina in the macular area. The patients of the main group revealed a decrease of the retinal thickness by 23,2 ± 16,7 mm, and of the control group by 11,4 ± 17,8 mm (p < 0,001) and improvement in visual acuity (VA), respectively, 57,0 and 25,2 % of eyes (p < 0,001).
About the Author
I. H. Zaborovskiy
Belarusian Medical Academy of Postgraduate Education, Minsk
Belarus
Belarus
References
1. Moss, S. E. Ten-year incidence of visual loss in a diabetic population / S. E. Moss, R. Klein, B. E. Klein // Ophthalmology. - 1994. - Vol. 101. - P. 1061-1070.
2. The Wisconsin epidemiologic study of diabetic retinopathy. IV. Diabetic retinopathy / R. Klein [et al.] // Ophthalmology. - 1984. - Vol. 91. - P. 1464-1474.
3. Intravitreal injection of triamcinolone for diffuse diabetic macular edema / J. B. Jonas [et al.] // Arch. Ophthalmol. - 2003. - Vol. 121. - P. 57-61.
4. Ferris, F. L. III. Macular edema: a complication of diabetic retinopathy / F. L. III Ferris, A. Patz // Surv. Ophthalmol. - 1984. - Vol. 28. - P. 452-461.
5. Browning, D. J. A spreadsheet template for the analysis of the optical coherence tomography in the longitudinal management of diabetic macular edema / D. J. Browning, C. M. Fraser, M. E. Powers // Ophthalmic Surg. Lasers Imaging. - 2006. - Vol. 37. - P. 399-405.
6. Diabetic Retinopathy Clinical Research Network. Diabetic macular edema: What is focal and what is diffuse? / D. J. Browning [et al.] // Am. J. Ophthalmol. - 2008. - Vol. 146. - P. 649-655.
7. Diabetic macular edema: Classification, medical and laser therapy / F. Bandello [et al.] // Semin. Ophthalmol. - 2003. - Vol. 18. - P. 251-258.
8. WHO. Prevention of blindness from diabetes mellitus // Report of a WHO consultation in Geneva 9-11 November 2005. - Switzerland. - WHO press, 2005. - 39 p.
9. Lee, C. M. Modified grid laser photocoagulation for diffuse diabetic macular edema: Long-term visual results / C. M. Lee, R. J. Olk // Ophthalmology. - 1991. - Vol. 98. - P. 1594-1602.
10. Focal photocoagulation treatment of diabetic macular edema: Relationship of treatment effect to fluorescein angiographic and other retinal characteristics at baseline: ETDRS report no.19 / Early Treatment Diabetic Retinopathy Study Research Group // Arch. Ophthalmol. - 1995. - Vol. 113. - P. 1144-1155.
11. Photocoagulation for diabetic macular edema. ETDRS report number 1 / Early Treatment Diabetic Retinopathy Study Research Group // Arch. Ophthalmol. - 1985. - Vol. 103. - P. 1796-1806.
12. Балашевич, Л. И. Глазные проявления диабета / Л. И. Балашевич, А. С. Измайлов. - СПб.: МАПО, 2004. - 392 с.
13. Сорокин, Е. Л. Оценка исходного состояния макулярной зоны у больных сахарным диабетом 2 типа при их первичном направлении на лазерное лечение по поводу диабетической ретинопатии; перспективы сохранности зрительных функций / Е. Л. Сорокин, М. В. Пшеничнов // Дальневосточный медицинский журнал. - 2007. - № 3. - С. 86-88.
14. Wilczyński, M. Results of laser photocoagulation in patients with diabetic retinopathy developed as a complication of diabetes type 2 / M. Wilczyński, K. Dzivgielewski // Klin. Oczna. - 2006. - Vol. 108(1-3). - P. 66-69.
15. Tang, L. P. Therapeutic effect of argon green laser for diabetic retinopathy / L. P. Tang, H. Y. Feng // Di Yi Jun Yi Da Xue Xue Bao. - 2004. - Vol. 24 (12). - P. 1452-1454.
Review
For citations:
Zaborovskiy I.H. DYNAMICS OF STRUCTURAL AND FUNCTIONAL STATE OF MACULAE IN LASER TREATMENT OF FOCAL DIABETIC MACULAR EDEMA. Health and Ecology Issues. 2012;(4):48-53. (In Russ.) https://doi.org/10.51523/2708-6011.2012-9-4-9
Views: 274
Email this article 