Abstract

Aim: The aim was to report morphological and functional outcomes following modified early treatment diabetic retinopathy study (ETDRS) laser in diabetic macular edema (DME). Materials and methods: Structural and functional changes using spectral domain optical coherence tomography (OCT) and microperimetry (MP) were studied before and 4 months after laser in 37 eyes with clinically significant macular edema (ME) requiring modified ETDRS laser treatment. Paired t-test was used to compare pre and postlaser outcomes P < 0.05 was considered statistically significant. Results: Central foveal thickness showed a significant reduction after laser P = 0.004. There was a significant reduction in mean retinal thickness (MRT) and retinal volume in all the quadrants of ETDRS except for the temporal and nasal quadrants in outer 6 mm ring. Maximum reduction in MRT was seen in eyes with DME having neurosensory detachment (382.66 μ to 292.61 μ). Retinal sensitivities reduced in all quadrants following laser, however, fixation patterns showed improvements. The change in VA was positively correlated to change in MRT (r = 0.468, P = 0.032). Conclusion: Laser not only causes structural benefits such as reduction of retinal thickness and volume, it also causes improvement of fixation patterns.

Keywords

Publication details

DOI
10.4103/0974-620x.159252
Journal
Oman Journal of Ophthalmology, 8(2), 92-96
Publisher
Medknow Publications
Open access
Gold open access

Cite this article

APA 7

Raman, R., Santhanam, K., Gella, L., Pal, B. P., & Sharma, T. (2015). Morphological and functional outcomes following modified early treatment diabetic retinopathy study laser in diabetic macular edema. Oman Journal of Ophthalmology, 8(2), 92-96. https://doi.org/10.4103/0974-620x.159252

MLA 9

Raman, Rajiv, et al. "Morphological and functional outcomes following modified early treatment diabetic retinopathy study laser in diabetic macular edema." Oman Journal of Ophthalmology, vol. 8, no. 2, 2015, pp. 92-96. https://doi.org/10.4103/0974-620x.159252.

Chicago (author–date)

Raman, Rajiv, Kiruthika Santhanam, Laxmi Gella, Bikramjit P Pal, and Tarun Sharma. 2015. "Morphological and functional outcomes following modified early treatment diabetic retinopathy study laser in diabetic macular edema." Oman Journal of Ophthalmology 8 (2): 92-96. https://doi.org/10.4103/0974-620x.159252.

Harvard

Raman, R., Santhanam, K., Gella, L., Pal, B. P. and Sharma, T. (2015) 'Morphological and functional outcomes following modified early treatment diabetic retinopathy study laser in diabetic macular edema', Oman Journal of Ophthalmology, 8(2), pp. 92-96. doi:10.4103/0974-620x.159252.

Vancouver

Raman R, Santhanam K, Gella L, Pal BP, Sharma T. Morphological and functional outcomes following modified early treatment diabetic retinopathy study laser in diabetic macular edema. Oman Journal of Ophthalmology. 2015;8(2):92-96. doi:10.4103/0974-620x.159252

IEEE

R. Raman, K. Santhanam, L. Gella, B. P. Pal, and T. Sharma, "Morphological and functional outcomes following modified early treatment diabetic retinopathy study laser in diabetic macular edema," Oman Journal of Ophthalmology, vol. 8, no. 2, pp. 92-96, 2015, doi: 10.4103/0974-620x.159252.