Laser photocoagulation in patients with macular edema and diabetic retinopathy
Abstract
Introduction: by 2030 4.4 million diabetics could become blind due to retinopathy and macular edema. Its treatment is mainly based on laser photocoagulation.
Objective: to describe some demographic, clinical and surgical aspects in patients with diabetic retinopathy and macular edema treated with laser photocoagulation.
Methods: a cross-sectional descriptive study was carried out in 3 885 diabetics (6 515 eyes) treated at the Ciego de Ávila Ophthalmological Center between January 2014 and December 2019, who met the inclusion criteria. A data collection worksheet was created with the variables of interest. The data were taken from charge sheets, medical records and laser reports. The ethical precepts were fulfilled.
Results: type 2 diabetics (67,90 %), the 70 to 79-year-old group (31,22 %) and females (83,58 %) predominated. Clinically significant macular edema (55,32 %) and proliferative diabetic retinopathy without high-risk features (30,70 %) prevailed at initial diagnosis. At baseline, 1 875 right eyes and 1 706 left eyes presented visual acuity between 0,5 and 0,3. One year after treatment, there were 2 021 and 1 947, respectively; 97,00 % showed regression of the clinical picture. Hyperglycemia (13,67 %) was the most found non-regression factor. There were few complications (0,59 %).
Conclusions: visual acuity improved with laser photocoagulation. Although the majority of diabetics began in advanced stages, favorable indicators of clinical regression were achieved and complications were fewDownloads
Published
How to Cite
Issue
Section
License
Those authors who have publications with this journal accept the following terms of the License CC Attribution-NonCommercial 4.0 International (CC BY-NC 4.0):
You are free to:
- Share — copy and redistribute the material in any medium or format
- Adapt — remix, transform, and build upon the material
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial — You may not use the material for commercial purposes .
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.