2 research outputs found
Retinal thickness study with optical coherence tomography in patients with diabetes
To quantitatively assess retinal thickness by optical coherence
tomography (OCT) in normal subjects and patients with diabetes. This study was
intended to determine which retinal thickness value measured with OCT best
discriminates between diabetic eyes, with and without macular edema. METHODS: OCT
retinal thickness was measured by a manual technique in a total of 26 healthy
volunteers (44 control eyes) and 85 patients with diabetes (148 eyes) with the
clinical diagnosis of no diabetic retinopathy (45 eyes), nonproliferative
diabetic retinopathy without clinically significant macular edema (CSME; 54
eyes), proliferative diabetic retinopathy without CSME (21 eyes), and 28 eyes
with diabetic retinopathy with CSME. Independent predictors of the presence of
CSME were quantified by using univariate and multivariate logistic regression
analyses. Receiver operating characteristic (ROC) curves were generated to
evaluate and compare the predictor variables. The correlation of retinal
thickness measurements and visual acuity was calculated. RESULTS: There were
statistically significant differences in foveal thickness between control eyes
and all the other eye groups (P = 0.001). Diabetic eyes with CSME had a
statistically significant greater thickness in each of the areas compared with
the other groups. In a multivariate logistic regression model, foveal thickness
was a strong and independent predictor of CSME (odds ratio [OR], 1.037; 95%
confidence interval [CI] 1.02-1.05). The area under the ROC curve of this
predictor variable was 0.94 (P = 0.001). For a cutoff point of 180 microm, the
sensitivity was 93%, and specificity was 75%. Foveal thickness correlated with
visual acuity in a log minimum angle of resolution (logMAR) scale (Spearman's rho
= 0.9, P = 0.001). CONCLUSIONS: These results suggest that foveal thickening over
180 microm measured by OCT may be useful for the early detection of macular
thickening and may be an indicator for a closer follow-up of the patient with
diabetes
Termoterapia transpupilar en neovascularización subretiniana oculta secundaria a degeneración macular asociada a la edad. Primeros resultados
To determine the efficacy of transpupillary thermotherapy (TTT) to treat choroidal neovascularization (CNV) in patients with age-related macular degeneration (ARMD).
Patients and Methods: Eight patients (ten eyes) with occult CNV were treated by TTT. A 810 nm diode laser was used to perform TTT. The diode laser was delivered through a panfunduscopic contact lens.
Results: Three eyes showed a visual acuity improvement and a decrease in exudation on fluorescein angiography. Four eyes remained stable. Nevertheless, lesions worsened after treatment in three cases. One of these cases suffered an overtreatment.
Conclusions: TTT may be a useful therapy in some cases of CNV in patients with age-related macular degeneration. Randomized and multicentric studies are necessary to stablish precise indications of this therap