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Accession number;00A0403347
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| Title;Indication and limitation of photocoagulation for diabetic maculopathy. |
| Author;
OKOSHI KISHIKO
(St. Luke's Int. Hosp.)
KUSANO YOSHIAKI
(St. Luke's Int. Hosp.)
SHIKURA HIROMI
(St. Luke's Int. Hosp.)
YAMAGUCHI TATSUO
(St. Luke's Int. Hosp.)
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Journal Title;Japanese Journal of Clinical Ophthalmology
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Journal Code:Z0515B
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ISSN:0370-5579
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VOL.54;NO.3;PAGE.367-371(2000)
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| Figure&Table&Reference;TBL.8, REF.16 |
| Pub. Country;Japan |
| Language;Japanese |
| Abstract;We treated 75 eyes of 54 patients with diabetic macular edema by macular focal photocoagulation. After follow up of 5 years on more, the visual acuity improved in 48% of eyes with diffuse macular edema and in 21% of eyes with focal macular edema. Macular edema dissolved in 87% of the eyes. Final visual acuity of 0.7 or over was obtained in 35 eyes (47%). They were characterized by the absence of proteinuria (p=0.005), of advanced hard exudate in the macula (p=0.01), and of cystoid macular edema (p=0.03). Final visual acuity of 0.2 or less resulted in 18 eyes (24%). They were characterized by proteinuria of 3+or more (p=0.002), advanced or foveal hard exudate (p=0.001), and cystoid macular edema (p=0.01). When the initial visual acuity was 0.7 or more, 77% of eyes obtained final visual acuity of 0.7 or more. When the initial visual acuity was 0.2 or less, 47% of eyes resulted in final visual acuity of 0.2 or less. The findings show that early focal macular photocoagulation is necessary to achieve good final visual acuity in eyes with diabetic macular edema. Presence of nephropathy and advanced hard exudate in the macula are major prognostic factors for poor visual outcome. (author abst.) |
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