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The comparative efficacy of subthreshold micropulse laser treatment and standard threshold grid laser coagulation in diabetic macular edema

Journal «MEDICINA» ¹ 1, 2017, pp.1-8 (Research)

Authors

Krylova I. A.
1

Goydin A. P.
12

Fabrikantov O. L.
12

1 - The Academician S.N. Fyodorov FSÀI IRTC «Eye Microsurgery» Tambov branch, 392000, Tambov, Russian Federation. E-mail naukatmb@mail.ru
2 - The Medical Faculty of the Tambov State University named after G.R. Derzhavin, Tambov, Russian Federation.

Abstract

Purpose: To assess the efficacy of subthreshold micropulse laser treatment and standard threshold grid laser coagulation. Material and methods: Laser treatment using the methods of subthreshold micropulse laser influence and standard threshold grid laser coagulation was performed in 20 patients. Results: The results were assessed according to the dynamics of best-corrected visual acuity and central retinal thickness. We observed the reduction of edema height and increase in visual acuity within six months treating by threshold grid laser coagulation, Micropulse laser influence was effective up to three months only. Conclusion: Threshold grid laser coagulation has a more prolonged effect (up to 6 months) for improving visual acuity and reducing retinal thickness in the macular. Micropulse threshold laser influence is a more gentle method and effective up to three months only, then the repeated courses of laser treatment are needed.

Key words

diabetic macular edema, subthreshold micropulse laser influence, threshold grid laser coagulation, optical coherence tomography

References

1. Akopyan, V. S., G. F. Kachalina, and E. K. Pedanova. et al. «Evaluation of chorioretinal complex tissue response on subthreshold micropulse yellow laser (577-nm) photocoagulation of retina in experiment.» Oftal'mokhirurgiya, no. 3 (2015): 54-58.

2. Balashevich, L. I. Ocular manifestations of diabetes mellitus. SPb: SPb MAPO, 2004.

3. Balashevich, L. I., and A. S. Izmaylov. Diabetic ophthalmopathy. SPb: Chelovek, 2012.

4. Buryakov, D. A., G. F. Kachalina, E. K. Pedanova, and L. A. Kryl' «Evaluation of the safety of repeated sessions of subthreshold micropulse laser treatment in diabetic macular edema.» Sovremennye tekhnologii v oftal'mologii, no. 3 (2015): 19-21.

5. Velichko, P. B. «Diabetic macular edema.» In Nauchnye Trudy Meditsinskogo instituta TGU imeni G.R. Derzhavina, 345-56. Tambov: Biznes-Nauka-Obshchestvo, 2013.

6. Velichko, P. B. «Combined treatment of diabetic macular edema.» Sovremennye tekhnologii v oftal'mologii, no. 1 (2015): 43-45.

7. Velichko, P. B. «Complex treatment of diabetic macular edema.» Vestnik Tambovskogo universiteta 19, no. 4 (2014): 1097-102.

8. Goydin, A. P., M. M. Pronichkina, T. S. Gurko, N. V. Yablokova et al. «The efficacy of combined treatment for diabetic macular edema.» Sovremennye tekhnologii v oftal'mologii, no. 1 (2014): 31-33.

9. Goydin, A. P., N. V. Yablokova, I. A. Krylova, and N. V. Terent'eva. «The influence of Tricor on the retinal status in patients with diabetic maculopathy.» Proceedings of Makula 2012, Rostov-na-Donu. 2012: 442.

10. Gurko, T. S., and E. Yu Yazykova. «The treatment of the retinal diabetic microangiopathy and diabetic retinopathy using the alternating magnetic field.» Vestnik Tambovskogo Universiteta 20, no. 6 (2015): 1656-658.

11. Doga, A. V., G. F. Kachalina, I. M. Gorshkov, and O. I. Kuranova. «Prospects of micropulse laser impact at macular edema after surgical removal of epiretinal membranes.» Vestnik Orenburgskogo gosudarstvennogo universiteta, no. 4 (2013): 71-74.

12. Doga, A. V., G. F. Kachalina, E. K. Pedanova, and D. A. Burjakov. «Subthreshold micropulse laser treatment in diabetic macular edema.» Sovremennye tehnologii v oftal'mologii, no. 1 (2015): 58-61.

13. Zheltov, G. I., G. S. Romanov, O. G. Romanov, and E. V. Ivanova. «Selective influence of laser pulses on retinal pigment epithelium.» Novoe v oftal'mologii, no. 3 (2012): 37-43.

14. Izmailov, A. S., and L. I. Balashevich. «Clinical classification of diabetic maculopathy.» In Sovremennye tekhnologii lecheniya vitreoretinal'noy patologii, Moscow: FSÀI IRTC «Eye Microsurgery», 2002: 123-27.

15. Fabrikantov, O. L., and T. S. Gurko. «Diabetic maculopathy. Epidemiology, pathogenesis, modern approaches to treatment (literature review).» Vestnik Tambovskogo universiteta 19, no. 2, 744-48.

16. Chizh, L. V., M. V. Gatsu, and L. F. Balashevich. «The assessment of microphotocoagulation in treating diabetic macular edema.» Oftal'mokhirurgiya, no. 4 (2005): 24-27.