Macular oedema is not predicted by perifoveal single blot haemorrhages

Diabetic Medicine : a Journal of the British Diabetic Association
C J SchofieldG P Leese

Abstract

To ascertain which perifoveal changes on digital retinal screening in diabetes predict the need for subsequent macular grid or focal laser therapy. Between 1 January 2004 and 31 December 2005, all consecutive retinal images where any lesion was within one disc diameter of the fovea were reviewed. Patients were categorized by lesion at screening as having microaneurysm, single blot haemorrhage, multiple blot haemorrhages and exudates or circinate exudates within one disc diameter of the fovea. We compared these retinal images with the findings on slit lamp examination and the related decision for laser photocoagulation. Four hundred and twenty-four retinal images were identified. Of these, 52 were excluded, principally because of an interval between photography and clinic attendance of greater than 120 days, leaving 372 retinal images in the study group (313 patients). No patients with a single blot haemorrhage required immediate laser therapy at ophthalmology review compared with 13 (23%) of those with multiple blot haemorrhages and 36 (16%) of those with exudates or circinate lesions (P < 0.001). Thirty-nine patients with a single blot haemorrhage who did not require laser therapy underwent ongoing follow-up. None of these und...Continue Reading

References

Jun 15, 2000·American Journal of Epidemiology·R J Glynn, B Rosner
Apr 25, 2001·Diabetic Medicine : a Journal of the British Diabetic Association·E M KohnerUNKNOWN UK Prospective Diabetes Study (IKPDS) Group
Apr 12, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·R J Pandit, R Taylor
Jul 20, 2005·Diabetic Medicine : a Journal of the British Diabetic Association·G P LeeseJ D Ellis

❮ Previous
Next ❯

Citations

May 19, 2018·Diabetes & Vascular Disease Research : Official Journal of the International Society of Diabetes and Vascular Disease·Anatolie BaltatescuMassimo Porta

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.