Diabetic Retinopathy & Medical Retina - aioseducation
Diabetic Retinopathy & Medical Retina - aioseducation
Diabetic Retinopathy & Medical Retina - aioseducation
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70th AIOC Proceedings, Cochin 2012<br />
thickening due to cystic changes of the inner retinal layers/thinning of<br />
neurosensory retina on OCT co-related most significantly with decreased<br />
sensitivity.<br />
REFERENCES<br />
1. Gupta V, Gupta A, Dogra MR, Singh R. <strong>Diabetic</strong> <strong>Retinopathy</strong> Atlas and Text. 2007,<br />
page 1.<br />
2. Hindustan Times, New Delhi, Sep 2007: Express news Service may 13 2009.<br />
3. Sanchez HT et. al. <strong>Retina</strong>l Thickness study with OCT in patients with diabetes. The<br />
Association for research in vision and ophthalmology. Jan 2002.<br />
4. Kim BY et. al. OCT patterns of diabetic macular edema. American Journal of<br />
Ophthalmology. 2006;Sep:405-12.<br />
5. Kothari AR, Raman R, Sharma T. <strong>Diabetic</strong> Macular Edema:Corelation of retinal<br />
structural alteration with retinal sensitivity loss-a prospective study. AIOC 2010<br />
proceedings. <strong>Retina</strong>/Vitreous session.<br />
6. Okada K et. al. Co relation of the retinal sensitivity measured with fundus related<br />
microperimetry to visual acuity and retinal thickness in DME. Eye 2006;20:805-9.<br />
7. Midena E. Microperimetry in diabetic retinopathy. Saudi Journal of Ophthalmology.<br />
2011;25:131-5.<br />
8. Hee MR, Puliafito CA, Wong C et al. Quantitative assessment of diabetic macular<br />
edema by Optical coherence tomography. Arch Ophthalmol 1995;113:1019-29.<br />
Two Year Follow-up of a Randomized Trial<br />
Comparing Intravitreal Bevacizumab Alone<br />
or Combined with Triamcinolone Vs. Macular<br />
Photocoagulation in <strong>Diabetic</strong> Macular Edema<br />
Dr. Meena Chakrabarti, Dr. Sonia Rani John, Dr. Arup Chakrabarti<br />
<strong>Diabetic</strong> maculopathy is responsible for majority of visual loss in patients<br />
with diabetic retinopathy. Strict glycemic and blood pressure control<br />
remain the most effective interventions to date. Conventional treatment is<br />
based mainly on laser photocoagulation with the probable mechanism of<br />
rejuvenation of retinal pigment epithelium cells or improvement of outer<br />
retinal oxygenation. The Early Treatment <strong>Diabetic</strong> <strong>Retinopathy</strong> Study (ETDRS)<br />
showed that laser photocoagulation reduced the risk of moderate visual loss in<br />
patients with clinically significant macular edema (CSME) by approximately<br />
50% (from 24% to 12%) at 3 years although visual acuity (VA) improvement was<br />
observed in less than 3% of cases (15 letter gain at 3 years).<br />
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