Short-term Efficacy of Micropulse Yellow Laser in Non-center-involving Diabetic Macular Edema: Preliminary Results

Objectives: The aim of this study was to evaluate the efficacy of micropulse yellow laser (MPL) on best corrected visual acuity (BCVA) and retinal thickness in patients with non-center-involving diabetic macular edema (DME). Materials and Methods: We retrospectively reviewed 9 eyes of 8 patients wi...

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Main Authors: Mehmet Fatih Kağan Değirmenci, Sibel Demirel, Figen Batıoğlu, Emin Özmert
Format: Article
Language:English
Published: Galenos Yayinevi 2018-10-01
Series:Türk Oftalmoloji Dergisi
Subjects:
Online Access:http://cms.galenos.com.tr/Uploads/Article_19893/TJO-48-245-En.pdf
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author Mehmet Fatih Kağan Değirmenci
Sibel Demirel
Figen Batıoğlu
Emin Özmert
author_facet Mehmet Fatih Kağan Değirmenci
Sibel Demirel
Figen Batıoğlu
Emin Özmert
author_sort Mehmet Fatih Kağan Değirmenci
collection DOAJ
description Objectives: The aim of this study was to evaluate the efficacy of micropulse yellow laser (MPL) on best corrected visual acuity (BCVA) and retinal thickness in patients with non-center-involving diabetic macular edema (DME). Materials and Methods: We retrospectively reviewed 9 eyes of 8 patients with non-center-involving DME who underwent MPL treatment between January 2015 and December 2016. BCVA (logMAR) and retinal thickness were evaluated before and 3 months after treatment. Maximum retinal thickness was determined manually from simultaneous spectral-domain optical coherence tomography images and recorded. The change in the measurements from before to after treatment was analyzed statistically. Results: Of the 8 patients, 3 were female and 5 were male. The mean age was 52.8 years. Two of the 9 eyes had received previous intravitreal anti-vascular endothelial growth factor injection(s). Median BCVA was improved 3 months after treatment, although the difference was not statistically significant (0.34 logMAR before and 0.29 logMAR after treatment). BCVA was improved in 4 eyes while it showed no change in the remaining 5 eyes. The mean retinal thickness was 470.6 μm at baseline and 416 μm at 3 months after MPL treatment (p=0.01). Retinal thickness decreased in all eyes after treatment. Conclusion: In this study, parafoveal retinal thickness showed significant decrease after MPL treatment in patients with DME. The limited increase in BCVA may be due to the inclusion of a low number of patients and only those with non-center-involving macular edema. MPL may be used as an alternative to conventional argon laser in non-center-involving DME.
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spelling doaj.art-5c67bd46599e4cb497735acc75db7b1b2023-02-15T16:13:20ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612018-10-0148524524910.4274/tjo.04657Short-term Efficacy of Micropulse Yellow Laser in Non-center-involving Diabetic Macular Edema: Preliminary ResultsMehmet Fatih Kağan Değirmenci0Sibel Demirel1Figen Batıoğlu2Emin Özmert3Ankara University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyAnkara University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyAnkara University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyAnkara University Faculty of Medicine, Department of Ophthalmology, Ankara, TurkeyObjectives: The aim of this study was to evaluate the efficacy of micropulse yellow laser (MPL) on best corrected visual acuity (BCVA) and retinal thickness in patients with non-center-involving diabetic macular edema (DME). Materials and Methods: We retrospectively reviewed 9 eyes of 8 patients with non-center-involving DME who underwent MPL treatment between January 2015 and December 2016. BCVA (logMAR) and retinal thickness were evaluated before and 3 months after treatment. Maximum retinal thickness was determined manually from simultaneous spectral-domain optical coherence tomography images and recorded. The change in the measurements from before to after treatment was analyzed statistically. Results: Of the 8 patients, 3 were female and 5 were male. The mean age was 52.8 years. Two of the 9 eyes had received previous intravitreal anti-vascular endothelial growth factor injection(s). Median BCVA was improved 3 months after treatment, although the difference was not statistically significant (0.34 logMAR before and 0.29 logMAR after treatment). BCVA was improved in 4 eyes while it showed no change in the remaining 5 eyes. The mean retinal thickness was 470.6 μm at baseline and 416 μm at 3 months after MPL treatment (p=0.01). Retinal thickness decreased in all eyes after treatment. Conclusion: In this study, parafoveal retinal thickness showed significant decrease after MPL treatment in patients with DME. The limited increase in BCVA may be due to the inclusion of a low number of patients and only those with non-center-involving macular edema. MPL may be used as an alternative to conventional argon laser in non-center-involving DME.http://cms.galenos.com.tr/Uploads/Article_19893/TJO-48-245-En.pdfMicropulselaserdiabetic macular edema
spellingShingle Mehmet Fatih Kağan Değirmenci
Sibel Demirel
Figen Batıoğlu
Emin Özmert
Short-term Efficacy of Micropulse Yellow Laser in Non-center-involving Diabetic Macular Edema: Preliminary Results
Türk Oftalmoloji Dergisi
Micropulse
laser
diabetic macular edema
title Short-term Efficacy of Micropulse Yellow Laser in Non-center-involving Diabetic Macular Edema: Preliminary Results
title_full Short-term Efficacy of Micropulse Yellow Laser in Non-center-involving Diabetic Macular Edema: Preliminary Results
title_fullStr Short-term Efficacy of Micropulse Yellow Laser in Non-center-involving Diabetic Macular Edema: Preliminary Results
title_full_unstemmed Short-term Efficacy of Micropulse Yellow Laser in Non-center-involving Diabetic Macular Edema: Preliminary Results
title_short Short-term Efficacy of Micropulse Yellow Laser in Non-center-involving Diabetic Macular Edema: Preliminary Results
title_sort short term efficacy of micropulse yellow laser in non center involving diabetic macular edema preliminary results
topic Micropulse
laser
diabetic macular edema
url http://cms.galenos.com.tr/Uploads/Article_19893/TJO-48-245-En.pdf
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AT sibeldemirel shorttermefficacyofmicropulseyellowlaserinnoncenterinvolvingdiabeticmacularedemapreliminaryresults
AT figenbatıoglu shorttermefficacyofmicropulseyellowlaserinnoncenterinvolvingdiabeticmacularedemapreliminaryresults
AT eminozmert shorttermefficacyofmicropulseyellowlaserinnoncenterinvolvingdiabeticmacularedemapreliminaryresults