Proliferative diabetic retinopathy with maculopathy

Sallam, Ahmed and Scanlon, Peter H ORCID: 0000-0001-8513-710X (2017) Proliferative diabetic retinopathy with maculopathy. In: Practical Manual of Diabetic Retinopathy Management, 2nd edition. Wiley Blackwell, Oxford, pp. 150-159. ISBN 9781119058953

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Results from the Diabetic Retinopathy Study (DRS) demonstrated that scatter photocoagulation is associated with some loss of visual acuity soon after treatment, and this was more common in eyes with pre-existing macular oedema. It was recommended that eyes needing scatter laser treatment and also having macular oedema are less at risk of visual acuity loss when focal/grid treatment to reduce the macular oedema precedes scatter laser photocoagulation. The introduction of anti-VEGF therapy for treatment of diabetic macular oedema (DMO) has simplified the management of cases with combined proliferative retinopathy and maculopathy. In addition to its favourable functional and anatomical effects on DMO, available data on anti-VEGF therapy indicate a rapid and consistent beneficial effect on florid retinal and iris neovascularisations. It is recommended that eyes requiring scatter laser treatment that also have macular oedema are treated with a combination therapy of intravitreal anti-VEGF and panretinal photocoagulation (PRP).

Item Type: Book Section
Additional Information: Chapter 11
Uncontrolled Keywords: Anti-VEGF therapy; Concurrent maculopathy; Diabetic macular oedema; Diabetic retinopathy study; Iris neovascularisations; Macular oedema; Panretinal photocoagulation; Proliferative diabetic maculopathy; Proliferative diabetic retinopathy; Scatter laser photocoagulation
Subjects: R Medicine > RA Public aspects of medicine > RA645.A-Z Individual diseases or groups of diseases, A-Z > RA645.D54 Diabetes
R Medicine > RE Ophthalmology
Divisions: Schools and Research Institutes > School of Education and Science
Research Priority Areas: Health, Life Sciences, Sport and Wellbeing
Depositing User: Susan Turner
Date Deposited: 08 Jun 2017 09:45
Last Modified: 31 Aug 2023 09:09

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