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Published by Slack Inc.. ISSN: 1542-8877.<br /><br />Ophthalmic Surgery, Lasers and Imaging offers clinically valuable, practical articles in the field of ophthalmology on a bimonthly basis. Original, peer-reviewed articles delve into the entire spectrum of ophthalmic surgery and treatment. Regular features and columns, in addition to the scientific articles, enable the ophthalmic surgeon to further expand his or her knowledge base.
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Effectiveness of laser photocoagulation in clinically significant macular edema with focal versus diffuse parafoveal thickening on optical coherence tomography.
To evaluate whether increased foveal thickness in clinically significant diabetic macular edema responds differently to modified focal/grid laser photocoagulation in the setting of focal versus diffuse parafoveal thickening as defined by optical coherence tomography (OCT) criteria. The medical records of patients undergoing macular laser procedures for clinically significant diabetic macular edema were retrospectively reviewed. OCT, demographic, and clinical data were recorded for 62 consecutive eyes with clinically significant diabetic macular edema and foveal thickening (> 230 microns). Diffuse parafoveal thickening was defined as having all four parafoveal OCT quadrants greater than 300 microns, whereas focal thickening was defined as having fewer than four quadrants greater than 300 microns. Mean foveal thickness decreased from 331 to 311 microns with relatively stable visual acuity (20/54 vs 20/51) after a single laser treatment session. The diffuse parafoveal edema subgroup (24 eyes) had a mean foveal thickness change from 383 to 366 microns (P = .47) and mildly decreased visual acuity (20/62 vs 20/69). The focal parafoveal edema subgroup (38 eyes) experienced statistically significant foveal thinning from 299 to 276 microns (P = .018) and mildly improved visual acuity (20/48 to 20/43). Increased foveal thickening associated with clinically significant diabetic macular edema responds more favorably to modified focal/grid laser photocoagulation in the setting of focal parafoveal edema by OCT criteria. Statistically significant foveal thinning occurred following treatment in the focal group (P = .018) but not the diffuse group (P = .47). Furthermore, eyes with focal parafoveal edema experienced a more beneficial visual acuity response than those with diffuse edema (P = .049).
被引量：4 发表：2009
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Clinical variables associated with glaucomatous injury in eyes with large optic disc cupping.
被引量：- 发表：2005
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Pars plana lensectomy, pars plana vitrectomy, and silicone oil tamponade as initial management of cataract and combined traction/rhegmatogenous retinal detachment involving the macula associated with severe proliferative diabetic retinopathy.
被引量：9 发表：2003
