Contribution of wide field angiography to diabetic macular edema
Purpose To evaluate diabetic macular edema in non proliferative diabetic retinopathy (NPDR) using a wide field fluorescein angiography. Methods In a retrospective study, consecutive wide‐field angiographs using the Heidelberg Retina Angiograph 2 with a contact lens system Staurenghi and SD‐OCT were...
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Veröffentlicht in: | Acta ophthalmologica (Oxford, England) England), 2016-10, Vol.94 (S256), p.n/a |
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creator | Maamouri, R. Bouraoui, R. Kort, F. Falfoul, Y. El Matri, K. El Matri, L. |
description | Purpose
To evaluate diabetic macular edema in non proliferative diabetic retinopathy (NPDR) using a wide field fluorescein angiography.
Methods
In a retrospective study, consecutive wide‐field angiographs using the Heidelberg Retina Angiograph 2 with a contact lens system Staurenghi and SD‐OCT were performed in diabetic patients with non proliferative diabetic retinopathy.
Results
A total of 71 eyes in 39 diabetic, average age was 58 years (SD 12). Most of the patients had type 2 diabetes mellitus (92%) and average duration since diabetes diagnosis was 10 years. Mean HA1c was 7.4%. Distribution of NPDR severity was: mild NPDR in 6% of eyes, moderate NPDR in 21% and severe NPDR in 73%. Macular edema was found in 53%. A thicker retina was observed in eyes with peripheral non perfusion (353 vs. 254 μm p = 0.006). Retinal non perfusion was associated with macular edema (97 vs. 76%, p = 0.01) and poor visual acuity (p |
doi_str_mv | 10.1111/j.1755-3768.2016.0491 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_1918804811</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4180584461</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2001-364f50834ca5d889da091da347d6b356bce3d9c038afc57b3409c130ca9a4e483</originalsourceid><addsrcrecordid>eNqNkE1Lw0AQhhdRsFZ_grDgOXG2-5FdT5biFxR6UMHbstnd1A1pUjcJpf_exEqP4lxmGN5nBh6ErgmkZKjbMiUZ5wnNhExnQEQKTJETNDluT48z_zhHF21bAggiBJug-0VTdzHkfReaGjcF3gXncRF85bCp16FZR7P93OOuwS6Y3HfB4o2xfWUi9s5vzCU6K0zV-qvfPkXvjw9vi-dkuXp6WcyXiZ0BkIQKVnCQlFnDnZTKGVDEGcoyJ3LKRW49dcoClaawPMspA2UJBWuUYZ5JOkU3h7vb2Hz1vu102fSxHl5qooiUwCQhf6YkUcA5z_iQ4oeUjU3bRl_obQwbE_eagB6V6lKPwvQoT49K9ah04O4O3C5Ufv8_SM9Xrz_wN25CeSU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1819055575</pqid></control><display><type>article</type><title>Contribution of wide field angiography to diabetic macular edema</title><source>Access via Wiley Online Library</source><source>Wiley Online Library (Open Access Collection)</source><creator>Maamouri, R. ; Bouraoui, R. ; Kort, F. ; Falfoul, Y. ; El Matri, K. ; El Matri, L.</creator><creatorcontrib>Maamouri, R. ; Bouraoui, R. ; Kort, F. ; Falfoul, Y. ; El Matri, K. ; El Matri, L.</creatorcontrib><description>Purpose
To evaluate diabetic macular edema in non proliferative diabetic retinopathy (NPDR) using a wide field fluorescein angiography.
Methods
In a retrospective study, consecutive wide‐field angiographs using the Heidelberg Retina Angiograph 2 with a contact lens system Staurenghi and SD‐OCT were performed in diabetic patients with non proliferative diabetic retinopathy.
Results
A total of 71 eyes in 39 diabetic, average age was 58 years (SD 12). Most of the patients had type 2 diabetes mellitus (92%) and average duration since diabetes diagnosis was 10 years. Mean HA1c was 7.4%. Distribution of NPDR severity was: mild NPDR in 6% of eyes, moderate NPDR in 21% and severe NPDR in 73%. Macular edema was found in 53%. A thicker retina was observed in eyes with peripheral non perfusion (353 vs. 254 μm p = 0.006). Retinal non perfusion was associated with macular edema (97 vs. 76%, p = 0.01) and poor visual acuity (p < 0.001).
Conclusions
Diabetic macular edema seems to be strongly associated with peripheral retinal non perfusion. So treatment and management of diabetic macular edema may be reconsidered using either a targeted laser treatment in the area of retinal non perfusion or anti‐VEGF intravitreal injection.</description><identifier>ISSN: 1755-375X</identifier><identifier>EISSN: 1755-3768</identifier><identifier>DOI: 10.1111/j.1755-3768.2016.0491</identifier><language>eng</language><publisher>Malden: Wiley Subscription Services, Inc</publisher><subject>Acuity ; Angiography ; Company reports ; Contact lenses ; Diabetes ; Diabetes mellitus ; Diabetic retinopathy ; Edema ; Eye lens ; Fluorescein ; Medical imaging ; Ophthalmology ; Perfusion ; Retina ; Retinopathy ; Vascular endothelial growth factor ; Visual acuity</subject><ispartof>Acta ophthalmologica (Oxford, England), 2016-10, Vol.94 (S256), p.n/a</ispartof><rights>Copyright © 2016 Acta Ophthalmologica Scandinavica Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1755-3768.2016.0491$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,781,785,1418,1434,27929,27930,45580,46838</link.rule.ids></links><search><creatorcontrib>Maamouri, R.</creatorcontrib><creatorcontrib>Bouraoui, R.</creatorcontrib><creatorcontrib>Kort, F.</creatorcontrib><creatorcontrib>Falfoul, Y.</creatorcontrib><creatorcontrib>El Matri, K.</creatorcontrib><creatorcontrib>El Matri, L.</creatorcontrib><title>Contribution of wide field angiography to diabetic macular edema</title><title>Acta ophthalmologica (Oxford, England)</title><description>Purpose
To evaluate diabetic macular edema in non proliferative diabetic retinopathy (NPDR) using a wide field fluorescein angiography.
Methods
In a retrospective study, consecutive wide‐field angiographs using the Heidelberg Retina Angiograph 2 with a contact lens system Staurenghi and SD‐OCT were performed in diabetic patients with non proliferative diabetic retinopathy.
Results
A total of 71 eyes in 39 diabetic, average age was 58 years (SD 12). Most of the patients had type 2 diabetes mellitus (92%) and average duration since diabetes diagnosis was 10 years. Mean HA1c was 7.4%. Distribution of NPDR severity was: mild NPDR in 6% of eyes, moderate NPDR in 21% and severe NPDR in 73%. Macular edema was found in 53%. A thicker retina was observed in eyes with peripheral non perfusion (353 vs. 254 μm p = 0.006). Retinal non perfusion was associated with macular edema (97 vs. 76%, p = 0.01) and poor visual acuity (p < 0.001).
Conclusions
Diabetic macular edema seems to be strongly associated with peripheral retinal non perfusion. So treatment and management of diabetic macular edema may be reconsidered using either a targeted laser treatment in the area of retinal non perfusion or anti‐VEGF intravitreal injection.</description><subject>Acuity</subject><subject>Angiography</subject><subject>Company reports</subject><subject>Contact lenses</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetic retinopathy</subject><subject>Edema</subject><subject>Eye lens</subject><subject>Fluorescein</subject><subject>Medical imaging</subject><subject>Ophthalmology</subject><subject>Perfusion</subject><subject>Retina</subject><subject>Retinopathy</subject><subject>Vascular endothelial growth factor</subject><subject>Visual acuity</subject><issn>1755-375X</issn><issn>1755-3768</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqNkE1Lw0AQhhdRsFZ_grDgOXG2-5FdT5biFxR6UMHbstnd1A1pUjcJpf_exEqP4lxmGN5nBh6ErgmkZKjbMiUZ5wnNhExnQEQKTJETNDluT48z_zhHF21bAggiBJug-0VTdzHkfReaGjcF3gXncRF85bCp16FZR7P93OOuwS6Y3HfB4o2xfWUi9s5vzCU6K0zV-qvfPkXvjw9vi-dkuXp6WcyXiZ0BkIQKVnCQlFnDnZTKGVDEGcoyJ3LKRW49dcoClaawPMspA2UJBWuUYZ5JOkU3h7vb2Hz1vu102fSxHl5qooiUwCQhf6YkUcA5z_iQ4oeUjU3bRl_obQwbE_eagB6V6lKPwvQoT49K9ah04O4O3C5Ufv8_SM9Xrz_wN25CeSU</recordid><startdate>201610</startdate><enddate>201610</enddate><creator>Maamouri, R.</creator><creator>Bouraoui, R.</creator><creator>Kort, F.</creator><creator>Falfoul, Y.</creator><creator>El Matri, K.</creator><creator>El Matri, L.</creator><general>Wiley Subscription Services, Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope></search><sort><creationdate>201610</creationdate><title>Contribution of wide field angiography to diabetic macular edema</title><author>Maamouri, R. ; Bouraoui, R. ; Kort, F. ; Falfoul, Y. ; El Matri, K. ; El Matri, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2001-364f50834ca5d889da091da347d6b356bce3d9c038afc57b3409c130ca9a4e483</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Acuity</topic><topic>Angiography</topic><topic>Company reports</topic><topic>Contact lenses</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetic retinopathy</topic><topic>Edema</topic><topic>Eye lens</topic><topic>Fluorescein</topic><topic>Medical imaging</topic><topic>Ophthalmology</topic><topic>Perfusion</topic><topic>Retina</topic><topic>Retinopathy</topic><topic>Vascular endothelial growth factor</topic><topic>Visual acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maamouri, R.</creatorcontrib><creatorcontrib>Bouraoui, R.</creatorcontrib><creatorcontrib>Kort, F.</creatorcontrib><creatorcontrib>Falfoul, Y.</creatorcontrib><creatorcontrib>El Matri, K.</creatorcontrib><creatorcontrib>El Matri, L.</creatorcontrib><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><jtitle>Acta ophthalmologica (Oxford, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maamouri, R.</au><au>Bouraoui, R.</au><au>Kort, F.</au><au>Falfoul, Y.</au><au>El Matri, K.</au><au>El Matri, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Contribution of wide field angiography to diabetic macular edema</atitle><jtitle>Acta ophthalmologica (Oxford, England)</jtitle><date>2016-10</date><risdate>2016</risdate><volume>94</volume><issue>S256</issue><epage>n/a</epage><issn>1755-375X</issn><eissn>1755-3768</eissn><abstract>Purpose
To evaluate diabetic macular edema in non proliferative diabetic retinopathy (NPDR) using a wide field fluorescein angiography.
Methods
In a retrospective study, consecutive wide‐field angiographs using the Heidelberg Retina Angiograph 2 with a contact lens system Staurenghi and SD‐OCT were performed in diabetic patients with non proliferative diabetic retinopathy.
Results
A total of 71 eyes in 39 diabetic, average age was 58 years (SD 12). Most of the patients had type 2 diabetes mellitus (92%) and average duration since diabetes diagnosis was 10 years. Mean HA1c was 7.4%. Distribution of NPDR severity was: mild NPDR in 6% of eyes, moderate NPDR in 21% and severe NPDR in 73%. Macular edema was found in 53%. A thicker retina was observed in eyes with peripheral non perfusion (353 vs. 254 μm p = 0.006). Retinal non perfusion was associated with macular edema (97 vs. 76%, p = 0.01) and poor visual acuity (p < 0.001).
Conclusions
Diabetic macular edema seems to be strongly associated with peripheral retinal non perfusion. So treatment and management of diabetic macular edema may be reconsidered using either a targeted laser treatment in the area of retinal non perfusion or anti‐VEGF intravitreal injection.</abstract><cop>Malden</cop><pub>Wiley Subscription Services, Inc</pub><doi>10.1111/j.1755-3768.2016.0491</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Acuity Angiography Company reports Contact lenses Diabetes Diabetes mellitus Diabetic retinopathy Edema Eye lens Fluorescein Medical imaging Ophthalmology Perfusion Retina Retinopathy Vascular endothelial growth factor Visual acuity |
title | Contribution of wide field angiography to diabetic macular edema |
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