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68360

Effect of Diabetes Duration on Proliferative Disease Regression after Panretinal Photocoagulation Using a Conventional Laser Versus Pattern Scan Multispot Laser

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Last updated: 03 Jan 2025

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Abstract

Background: Panretinal photocoagulation (PRP) is considered the gold standard for first line therapy in proliferative diabetic retinopathy (PDR). The aim of PRP is to prevent visual loss following vitreous hemorrhage, tractional retinal detachment, and neovascular glaucoma, by leading to regression of neovascularization. Objective: The purpose of this study was to compare the effect of diabetes duration on proliferative disease regression after pan-retinal photocoagulation using a conventional green laser versus a multispot pattern scan laser. Subjects and Methods: Eighty eyes with newly diagnosed proliferative diabetic retinopathy were randomly divided in to two groups each composed of 40 eyes: group (A) in which patients were received standard argon laser panretinal photocoagulation and group (B) in which patients were received pattern scan multispot panretinal photocoagulation. Changes in central macular thickness and BCVA at 1st, 4th, 12th week and 6th month follow-up were compared to baseline measurements. Fundus fluorescein angiography was performed at 4 weeks, 12 weeks and 6 months to assess regression of PDR. Results: by the end of the study, complete regression occurred in 37 (92.5%) of patients in conventional laser group and 36 (90%) patients in PASCAL group, while persistence of the disease occurred in 3 (7.5%) patients in each group and recurrence occurred 1 (2.5%) in PASCAL group. There was no statistically significant correlation in each study group between clinical outcome and age or duration of DM. Conclusion: There was no statistically significant correlation in each study group between duration of DM and proliferative disease regression.

DOI

10.21608/ejhm.2020.68360

Keywords

proliferative diabetic retinopathy, panretinal photocoagulation, pattern scan Multispot Panretinal Photocoagulation, Conventional argone laser

Authors

First Name

Tamer

Last Name

Ahmed

MiddleName

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Affiliation

Department of Ophthalmology, Faculty of Medicine, Aswan University, Egypt

Email

tamerahmedali@yahoo.com

City

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Orcid

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First Name

Ahmed

Last Name

Howaidy

MiddleName

-

Affiliation

Department of Ophthalmology, Faculty of Medicine, Aswan University, Egypt

Email

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City

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Orcid

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First Name

Abd Allah

Last Name

El-Amin

MiddleName

-

Affiliation

Department of Ophthalmology, Faculty of Medicine, Aswan University, Egypt

Email

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City

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Orcid

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First Name

Khalid

Last Name

Selim

MiddleName

-

Affiliation

Department of Ophthalmology, Faculty of Medicine, Aswan University, Egypt

Email

-

City

-

Orcid

-

Volume

78

Article Issue

1

Related Issue

10074

Issue Date

2020-01-01

Receive Date

2020-01-15

Publish Date

2020-01-01

Page Start

123

Page End

127

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_68360.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=68360

Order

17

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effect of Diabetes Duration on Proliferative Disease Regression after Panretinal Photocoagulation Using a Conventional Laser Versus Pattern Scan Multispot Laser

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Article

Created At

22 Jan 2023