Prognosis factors in diabetic macular edema: an OCT study
Macular edema is responsible for a significant degree of visual loss in diabetic patients. The prognosis factors in diabetic macular edema are varied and better documented by optical coherence tomography (OCT). We describe the patterns of diabetic macular edema demonstrated by OCT and correlate them...
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| Veröffentlicht in: | Journal francais d'ophtalmologie 2009-02, Vol.32 (2), p.117-125 |
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| creator | Maalej, A Turki, W Hadj Alouane, B Rannen, R Laabidi, H Gabsi, S |
| description | Macular edema is responsible for a significant degree of visual loss in diabetic patients. The prognosis factors in diabetic macular edema are varied and better documented by optical coherence tomography (OCT). We describe the patterns of diabetic macular edema demonstrated by OCT and correlate them with visual acuity.
A prospective study of 297 eyes with diabetic macular edema was conducted. An OTI/OCT exam was done for all eyes. The Fisher test was used to search for a correlation between visual acuity and each feature of diabetic macular edema (macular thickness, cystoid macular edema, central cyst, tractional component, and serous retinal detachment).
Visual acuity varied from 1.3 log MAR to 0 log MAR. The mean visual acuity was 0.51 log MAR. The presence of central cyst on OCT scan was significantly associated with worse vision (p |
| doi_str_mv | 10.1016/j.jfo.2009.01.004 |
| format | Article |
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A prospective study of 297 eyes with diabetic macular edema was conducted. An OTI/OCT exam was done for all eyes. The Fisher test was used to search for a correlation between visual acuity and each feature of diabetic macular edema (macular thickness, cystoid macular edema, central cyst, tractional component, and serous retinal detachment).
Visual acuity varied from 1.3 log MAR to 0 log MAR. The mean visual acuity was 0.51 log MAR. The presence of central cyst on OCT scan was significantly associated with worse vision (p<0.0001). Increased retinal thickness in all patterns was significantly correlated with worse visual acuity (p<0.0001). The OCT patterns containing a tractional component and serous retinal detachment were also associated with visual loss (p<10(-6)).
OCT is a very useful objective tool to describe, classify, and manage diabetic macular edema. It provides a better analysis of different prognosis factors and therefore can assist in determining a more suitable treatment for diabetic macular edema.</description><identifier>EISSN: 1773-0597</identifier><identifier>DOI: 10.1016/j.jfo.2009.01.004</identifier><identifier>PMID: 20579474</identifier><language>fre</language><publisher>France</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Diabetic Retinopathy - pathology ; Female ; Humans ; Macular Degeneration - etiology ; Macular Degeneration - pathology ; Male ; Middle Aged ; Prognosis ; Prospective Studies ; Tomography, Optical Coherence</subject><ispartof>Journal francais d'ophtalmologie, 2009-02, Vol.32 (2), p.117-125</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20579474$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Maalej, A</creatorcontrib><creatorcontrib>Turki, W</creatorcontrib><creatorcontrib>Hadj Alouane, B</creatorcontrib><creatorcontrib>Rannen, R</creatorcontrib><creatorcontrib>Laabidi, H</creatorcontrib><creatorcontrib>Gabsi, S</creatorcontrib><title>Prognosis factors in diabetic macular edema: an OCT study</title><title>Journal francais d'ophtalmologie</title><addtitle>J Fr Ophtalmol</addtitle><description>Macular edema is responsible for a significant degree of visual loss in diabetic patients. The prognosis factors in diabetic macular edema are varied and better documented by optical coherence tomography (OCT). We describe the patterns of diabetic macular edema demonstrated by OCT and correlate them with visual acuity.
A prospective study of 297 eyes with diabetic macular edema was conducted. An OTI/OCT exam was done for all eyes. The Fisher test was used to search for a correlation between visual acuity and each feature of diabetic macular edema (macular thickness, cystoid macular edema, central cyst, tractional component, and serous retinal detachment).
Visual acuity varied from 1.3 log MAR to 0 log MAR. The mean visual acuity was 0.51 log MAR. The presence of central cyst on OCT scan was significantly associated with worse vision (p<0.0001). Increased retinal thickness in all patterns was significantly correlated with worse visual acuity (p<0.0001). The OCT patterns containing a tractional component and serous retinal detachment were also associated with visual loss (p<10(-6)).
OCT is a very useful objective tool to describe, classify, and manage diabetic macular edema. It provides a better analysis of different prognosis factors and therefore can assist in determining a more suitable treatment for diabetic macular edema.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Diabetic Retinopathy - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>Macular Degeneration - etiology</subject><subject>Macular Degeneration - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Tomography, Optical Coherence</subject><issn>1773-0597</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1jztrwzAURkWhNCHND-hStHWye6_1sroV0xcE0iGdjSTLRcGvSvaQf99A0-ksh8P3EXKHkCOgfDzmx3bMCwCdA-YA_IqsUSmWgdBqRbYpBQuoZaGEwBuyKkAozRVfE_0Zx-9hTCHR1rh5jImGgTbBWD8HR3vjls5E6hvfmydqBrqvDjTNS3O6Jdet6ZLfXrghX68vh-o92-3fPqrnXTYhhznztpWmZKWTpWwK5IKjU5YzAQ6tdZoV51VSlk6jRlegAo4SmZG2tc4rzjbk4a87xfFn8Wmu-5Cc7zoz-HFJtWKMixIAzub9xVxs75t6iqE38VT_v2W_6IBUQg</recordid><startdate>200902</startdate><enddate>200902</enddate><creator>Maalej, A</creator><creator>Turki, W</creator><creator>Hadj Alouane, B</creator><creator>Rannen, R</creator><creator>Laabidi, H</creator><creator>Gabsi, S</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>200902</creationdate><title>Prognosis factors in diabetic macular edema: an OCT study</title><author>Maalej, A ; Turki, W ; Hadj Alouane, B ; Rannen, R ; Laabidi, H ; Gabsi, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p140t-ebf6a838c686d214541c7b4350c1bbc932627668c9191c217041613a6bfbce743</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2009</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Diabetic Retinopathy - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>Macular Degeneration - etiology</topic><topic>Macular Degeneration - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Tomography, Optical Coherence</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maalej, A</creatorcontrib><creatorcontrib>Turki, W</creatorcontrib><creatorcontrib>Hadj Alouane, B</creatorcontrib><creatorcontrib>Rannen, R</creatorcontrib><creatorcontrib>Laabidi, H</creatorcontrib><creatorcontrib>Gabsi, S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Journal francais d'ophtalmologie</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maalej, A</au><au>Turki, W</au><au>Hadj Alouane, B</au><au>Rannen, R</au><au>Laabidi, H</au><au>Gabsi, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prognosis factors in diabetic macular edema: an OCT study</atitle><jtitle>Journal francais d'ophtalmologie</jtitle><addtitle>J Fr Ophtalmol</addtitle><date>2009-02</date><risdate>2009</risdate><volume>32</volume><issue>2</issue><spage>117</spage><epage>125</epage><pages>117-125</pages><eissn>1773-0597</eissn><abstract>Macular edema is responsible for a significant degree of visual loss in diabetic patients. The prognosis factors in diabetic macular edema are varied and better documented by optical coherence tomography (OCT). We describe the patterns of diabetic macular edema demonstrated by OCT and correlate them with visual acuity.
A prospective study of 297 eyes with diabetic macular edema was conducted. An OTI/OCT exam was done for all eyes. The Fisher test was used to search for a correlation between visual acuity and each feature of diabetic macular edema (macular thickness, cystoid macular edema, central cyst, tractional component, and serous retinal detachment).
Visual acuity varied from 1.3 log MAR to 0 log MAR. The mean visual acuity was 0.51 log MAR. The presence of central cyst on OCT scan was significantly associated with worse vision (p<0.0001). Increased retinal thickness in all patterns was significantly correlated with worse visual acuity (p<0.0001). The OCT patterns containing a tractional component and serous retinal detachment were also associated with visual loss (p<10(-6)).
OCT is a very useful objective tool to describe, classify, and manage diabetic macular edema. It provides a better analysis of different prognosis factors and therefore can assist in determining a more suitable treatment for diabetic macular edema.</abstract><cop>France</cop><pmid>20579474</pmid><doi>10.1016/j.jfo.2009.01.004</doi><tpages>9</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Diabetic Retinopathy - pathology Female Humans Macular Degeneration - etiology Macular Degeneration - pathology Male Middle Aged Prognosis Prospective Studies Tomography, Optical Coherence |
| title | Prognosis factors in diabetic macular edema: an OCT study |
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