ROLE OF OPTICAL COHERENCE TOMOGRAPHY IN DIABETIC MACULOPATHY IN NONPROLIFERATIVE DIABETIC RETINOPATHY AND ITS MANAGEMENT
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 21
Abstract
BACKGROUND Diabetic retinopathy and diabetic macular oedema are leading causes of blindness throughout the world and cause significant visual morbidity. Ocular imaging has played a significant role in management of diabetic eye disease. Aim- To study the role of OCT in management of diabetic maculopathy in Non-Proliferative Diabetic Retinopathy. MATERIALS AND METHODS A descriptive study was conducted over a period of 18 months from June 2016 to November 2017 at Dr. B. R. Ambedkar Medical College and Hospital, Bengaluru. A total of 100 eyes of 50 patients were taken into the study. Informed consent was obtained from all the patients considered for the study. A detailed history, ocular examination, best corrected visual acuity, intraocular pressure with GAT, visual fields and fundus examination using indirect ophthalmoscope, +90D lens and OCT was done. RESULTS Among the patients who received anti-VEGF treatment best corrected visual acuity improved in 38% of cases, while 15% of cases showed no improvement. CONCLUSION Incidence of diabetic maculopathy is common after 50 years with diabetes of longer duration. Disease affects both eyes asymmetrically. OCT is an important diagnostic tool to detect maculopathy and helps in deciding further management based on the type of maculopathy. Early treatment with double frequency Nd-YAG green laser of 532 nm can stabilise the visual acuity and prevent further visual loss. Diabetic maculopathy is the commonest cause of visual loss in patients with Diabetic Retinopathy. Regular followup and repeated OCT examination is mandatory to detect the involvement of macula at an earlier stage.
Authors and Affiliations
Preeta Nair A. K, Ranisujatha M. A
Keywords
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- EP ID EP431700
- DOI 10.14260/jemds/2018/591
- Views 81
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