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Paper Information

Journal:   BINA   Summer 2002 , Volume 7 , Number 4; Page(s) 308 To 317.
 
Paper: 

MACULAR LASER PHOTOCOAGULATION IN LOW-VISION DIABETICS

 
 
Author(s):  DEHGHAN M.H., ANISIAN A., TABATABAEI HOMA
 
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Abstract: 

Purpose: To determine the effect of macular laser photocoagulation on clinically significant macular edema in diabetic patients with low vision (range of 20/200 to 20/80 of Snellen chart).
Materials and method: This is a before and after clinical trial. After 4 months of treatment by a retinal specialist, complete eye exams, blood lipid profile, and urinalysis were evaluated. Main outcome measures were visual acuity and macular edema.
Results: Thirty-three eyes from 22 patients were evaluated. Ninteen eyes (57.5%) had macular edema improvement and 17 eyes (51.5%) had visual acuity improvement. The difference between visual acuity before (19/100) and after (23/100) treatment was statistically significant (P=0.02). Twelve eyes (36.3%) had both improvement of visual acuity and resolution of macular edema. The only significant risk factor against improvement of visual acuity was hypertriglyceridemia (P= 0.03).
Conclusion: The effect of macular laser photocoagulation in this range of vision is at least as effective as in better ranges of vision.

 
Keyword(s): MACULAR PHOTOCOAGULATION, CLINICALLY SIGNIFICANT MACULAR EDEMA, RISK FACTORS
 
References: 
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