May 2003
Volume 44, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2003
Binocular Indirect Panretinal Laser Photocoagulation for the Treatment of Proliferative Diabetic Retinopathy: A Retrospective Study
Author Affiliations & Notes
  • J.M. Coney
    Ophthalmology, Case Western Reserve University/Dept of Ophthalmol, Cleveland Heights, OH, United States
  • G. Gurelik
    Ophthalmology, Gazi University, Ankara, Turkey
  • N.Z. Zakov
    Ophthalmology, Gazi University, Ankara, Turkey
  • Footnotes
    Commercial Relationships  J.M. Coney, None; G. Gurelik, None; N.Z. Zakov, None.
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 3982. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      J.M. Coney, G. Gurelik, N.Z. Zakov; Binocular Indirect Panretinal Laser Photocoagulation for the Treatment of Proliferative Diabetic Retinopathy: A Retrospective Study . Invest. Ophthalmol. Vis. Sci. 2003;44(13):3982.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Abstract: : Purpose: This is a noncomparative, consecutive, interventional case series that evaluates the efficacy of binocular indirect laser photocoagulation in eyes with severe preproliferative and proliferative diabetic retinopathy and in eyes undergoing pars plana vitrectomy for proliferative diabetic eye disease. Methods: A retrospective review of 209 eyes was performed to identify patients with severe preproliferative and proliferative diabetic retinopathy who had binocular indirect laser photocoagulation. Patients selected were categorized into three groups: Group 1, eyes that had no previous panretinal laser treatments (NPL); Group 2, eyes that had previous panretinal laser treatment (PL) and needed additional peripheral laser treatment; and Group 3, eyes that underwent a pars plana vitrectomy (PPVx) for a nonclearing vitreous hemorrhage secondary to proliferative diabetic retinopathy. All patients had at least 6 months of follow-up documenting visual acuity and status of diabetic retinopathy. Results: The NPL group received a mean 1465 laser spots in an average 1.32 sessions, with 80.82% of eyes having stable or improved vision. The PL group received a mean 1149 laser spots in an average 1.15 sessions, with 82.96% of eyes having stable or improved vision. The PPVx group had an improvement or stabilization of vision in 89.58% of eyes after an average 1.08 sessions with a mean 1038 laser spots. The incidence of severe vision loss was slightly increased in the NPL and PL groups, whereas there was a significant decrease in the PPVx group. A cumulative incidence rate of severe visual loss in the NPL group was 11.0%. There was evidence of neovascular glaucoma in 2.7% of the NPL eyes, 1.1% in the PL eyes, and 8.3% in the PPVx group. Although there were no retinal detachments in the NPL and PL groups, the PPVx group had a detachment rate of 2.1% of eyes. Conclusions: The results of this study indicate that, in all categories, binocular indirect laser photocoagulation decreased the incidence of blind painful eyes and should be considered as an adjunct to office panretinal laser for diabetic patients when comfort, handicaps, and progression of retinopathy is a concern.

Keywords: diabetic retinopathy • laser 
×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×