Journal article
Variability in photocoagulation treatment of diabetic macular oedema
Acta ophthalmologica, Vol.91(8), pp.722-727
12/2013
DOI: 10.1111/j.1755-3768.2012.02524.x
PMID: 22973860
Abstract
To establish whether differences in the assessment of diabetic macular oedema (DME) with either optical coherence tomography (OCT) or stereoscopic biomicroscopy lead to variability in the photocoagulation treatment of DME. The differences in the assessment of DME with either OCT or stereoscopic biomicroscopy were analysed by calculating the surface areas and the overlap of retinal thickening. Photocoagulation treatment plans of retinal specialists were compared by evaluating the number and location of planned laser spots. The threshold for and dosage of photocoagulation differ depending upon whether the basis of retinal thickness diagnosis is clinical observation or OCT. The overlap in laser spot location based on the assessment of DME with OCT or biomicroscopy averages 51%. Among retinal specialists, the treatment plans differed in the laser spot count by six- to 11-fold. Diabetic macular oedema photocoagulation treatment threshold and dosage of laser spots differ depending on whether thickness assessments are based on stereoscopic slit-lamp biomicroscopy or OCT. In addition, retinal specialists differed in the number and placement of planned laser spots even when given identical information concerning DME and treatable lesions. This variability in the photocoagulation treatment of DME could lead to differences in patient outcome and laser study results.
Details
- Title: Subtitle
- Variability in photocoagulation treatment of diabetic macular oedema
- Creators
- Hille W van Dijk - Academic Medical CenterFrank D Verbraak - Academic Medical CenterPauline H B Kok - Academic Medical CenterSarit Y L Oberstein - Academic Medical CenterReinier O Schlingemann - Academic Medical CenterStephen R RussellMichael D Abràmoff
- Resource Type
- Journal article
- Publication Details
- Acta ophthalmologica, Vol.91(8), pp.722-727
- Publisher
- England
- DOI
- 10.1111/j.1755-3768.2012.02524.x
- PMID
- 22973860
- ISSN
- 1755-375X
- eISSN
- 1755-3768
- Language
- English
- Date published
- 12/2013
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Electrical and Computer Engineering; Ophthalmology and Visual Sciences
- Record Identifier
- 9983806389102771
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