April 2009
Volume 50, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2009
Optimal Endpoint and Lesion Character for Subtreshold Micropulse Photocoagulation Protocols Targeting Diabetic Macular Edema
Author Affiliations & Notes
  • J. A. Cardillo
    Hospital de Olhos de Araraquara, Araraquara, Brazil
    Centro Brasileiro de Especialidades Oftalmológicas, Araraquara, SP, Brazil
  • A. Daré
    Centro Brasileiro de Especialidades Oftalmológicas, Araraquara, SP, Brazil
  • R. Peroni
    Centro Brasileiro de Especialidades Oftalmológicas, Araraquara, SP, Brazil
  • D. Lavinsky
    Universidade de São Paulo UNIFESP/EPM, São Paulo, SP, Brazil
  • R. A. Costa
    Hospital de Olhos de Araraquara, Araraquara, Brazil
  • C. E. Moreira
    Centro Brasileiro de Especialidades Oftalmológicas, Araraquara, SP, Brazil
  • Footnotes
    Commercial Relationships  J.A. Cardillo, None; A. Daré, None; R. Peroni, None; D. Lavinsky, None; R.A. Costa, None; C.E. Moreira, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2009, Vol.50, 217. doi:
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      J. A. Cardillo, A. Daré, R. Peroni, D. Lavinsky, R. A. Costa, C. E. Moreira; Optimal Endpoint and Lesion Character for Subtreshold Micropulse Photocoagulation Protocols Targeting Diabetic Macular Edema. Invest. Ophthalmol. Vis. Sci. 2009;50(13):217.

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

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Abstract

Purpose: : To clinically compare the characteristics of the retinal lesions of successfully and non-successfully treated patients that underwent subthreshold 810nm-diode micropulse (SDMP) photocoagulation for diabetic macular edema.

Methods: : A retrospective clinical and angiographic analysis of the resulting macular coagulation lesions of 200 eyes that underwent SDMP was performed. Lesions were classified as (1) angiographic-visible lesion, (2) barely visible lesion (red-free photography), (3) invisible lesion and respectively correlated to the functional (ETDRS best correct visual acuity) and anatomical (OCT-central macular thickness) outcome one-year pos-treatment.

Results: : In 93% of 70 eyes that improved 15 or more letters, the lesions were classified as type 1 (n=35) and type 2 (n=30) lesions. On the contrary, in 80 % of 10 eyes loosing 15 or more letters a type 3 lesion was detected. A parallel anatomical correlation was observed, and 87% of 128 eyes that experienced a complete regression of the macular edema presented a type 1 (n=50) or type 2 lesion (n=62).

Keywords: laser • diabetic retinopathy • diabetes 
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