64951

CHANGES IN SUBFOVEAL CHOROIDAL THICKNESS BEFORE AND AFTER PANRETINAL PHOTOCOAGULATION IN PROLIFERATIVE DIABETIC RETINOPATHY USING SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY

Article

Last updated: 04 Jan 2025

Subjects

-

Tags

-

Abstract

Background: Diabetic retinopathy is the third highest cause of functional vision loss in people older than 50 years. There are few measures accessible to prevent diabetic retinopathy beyond control of tight glycemic control, cessation of smoking, BP control and correction of dyslipidemia. Beyond control of systemic factors, laser photocoagulation, Intravitreal anti-VEGF drugs and Intravitreal corticosteroids are the principal therapies to reduce sight threatening DME. Laser photocoagulation and Vitreoretinal surgery are the main treatments for PDR. Objective: We aimed to evaluate changes in SFCT before and after argon laser (PRP) in patients with PDR using spectral-domain optical coherence tomography (SD-OCT). Patients and methods: A prospective observational clinical study on 30 eyes with proliferative diabetic retinopathy. SD-OCT was done before starting PRP, one month and three months following last session of Argon laser. All patients will undergo full medical and ophthalmic history including onset and duration of diabetes, history of ocular surgeries, laser intervention. All patients will undergo complete ophthalmic examination includes Visual acuity: Uncorrected VA (UCVA) &best corrected VA (BCVA),Anterior segment examination using Slit-lamp biomicroscopy ,Intraocular pressure (IOP) measurement by applanation tonometry, Fundus examination ,OCT imaging using SD-OCT  before starting PRP ,one month and three months after last session of PRP and all patients will receive PRP using Argon laser photocoagulation. Results: In patients with diabetic retinopathy treated by pan retinal photocoagulation there is no significant change in sub foveal choroidal thickness noticed after one month but there is a significant change after three months. Conclusion: Proliferative Diabetic Retinopathy cases treated by pan retinal photocoagulation presented by significant improvement in BCVA and there was no significant change in sub foveal choroidal thickness noticed after one month but there is a significant change after three months.

DOI

10.21608/amj.2019.64951

Keywords

proliferative diabetic retinopathy, pan retinal photocoagulation, sub foveal choroidal thickness, Spectral Domain Optical Coherence Tomography

Authors

First Name

Mohamed

Last Name

Selim El-Kady

MiddleName

-

Affiliation

Departments of Ophthalmology, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Hassan

Last Name

Metwally Bayomy

MiddleName

-

Affiliation

Departments of Ophthalmology, Faculty of Medicine, Al-Azhar University

Email

-

City

-

Orcid

-

First Name

Awab

Last Name

El-Sayed Attia E-Sayed

MiddleName

-

Affiliation

Departments of Ophthalmology, Faculty of Medicine, Al-Azhar University

Email

awabelhefnawy91@gmail.com

City

-

Orcid

-

Volume

48

Article Issue

4

Related Issue

9819

Issue Date

2019-10-01

Receive Date

2019-10-01

Publish Date

2019-10-01

Page Start

445

Page End

454

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_64951.html

Detail API

https://amj.journals.ekb.eg/service?article_code=64951

Order

13

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

CHANGES IN SUBFOVEAL CHOROIDAL THICKNESS BEFORE AND AFTER PANRETINAL PHOTOCOAGULATION IN PROLIFERATIVE DIABETIC RETINOPATHY USING SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY

Details

Type

Article

Created At

22 Jan 2023