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Optical coherence tomographic patterns of diabetic macular edema.
Am J Ophthalmol. 2006 Sep; 142(3):405-12.AJ

Abstract

PURPOSE

To describe various morphologic patterns of diabetic macular edema (DME) demonstrated by optical coherence tomography (OCT) and correlate them with visual acuity.

DESIGN

Retrospective, observational, case series.

METHODS

A retrospective review of all patients with DME who underwent OCT evaluation and met the study inclusion criteria between May 1998 and December 2002 at the Cole Eye Institute was performed. The OCT scans were evaluated for the presence of diffuse retinal thickening (DRT), cystoid macular edema (CME), posterior hyaloidal traction (PHT), serous retinal detachment (SRD), and traction retinal detachment (TRD). Additionally, the retinal thickness was measured and visual acuity evaluated.

RESULTS

Two hundred seventy-six OCT scans of 164 eyes of 119 patients were identified. OCT revealed five morphologic patterns of DME: DRT (269, 97%), CME (152, 55%), SRD without PHT (19, 7.0%), PHT without TRD (35, 12.7%), and PHT with TRD (8, 2.9%). Mean retinal thickness varied depending on the morphologic pattern. The mean visual acuities (Snellen equivalent) also varied between groups. Increasing retinal thickness in all patterns was significantly correlated with worse visual acuity (P < .005). The OCT patterns containing CME (P = .01) and PHT without TRD (P = .02) were also significantly associated with worse vision.

CONCLUSIONS

DME exhibits at least five different morphologic patterns on OCT. There is a significant correlation between retinal thickness and visual acuity.

Authors+Show Affiliations

Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16935584

Citation

Kim, Brian Y., et al. "Optical Coherence Tomographic Patterns of Diabetic Macular Edema." American Journal of Ophthalmology, vol. 142, no. 3, 2006, pp. 405-12.
Kim BY, Smith SD, Kaiser PK. Optical coherence tomographic patterns of diabetic macular edema. Am J Ophthalmol. 2006;142(3):405-12.
Kim, B. Y., Smith, S. D., & Kaiser, P. K. (2006). Optical coherence tomographic patterns of diabetic macular edema. American Journal of Ophthalmology, 142(3), 405-12.
Kim BY, Smith SD, Kaiser PK. Optical Coherence Tomographic Patterns of Diabetic Macular Edema. Am J Ophthalmol. 2006;142(3):405-12. PubMed PMID: 16935584.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optical coherence tomographic patterns of diabetic macular edema. AU - Kim,Brian Y, AU - Smith,Scott D, AU - Kaiser,Peter K, PY - 2004/09/12/received PY - 2006/03/11/revised PY - 2006/04/07/accepted PY - 2006/8/29/pubmed PY - 2006/9/22/medline PY - 2006/8/29/entrez SP - 405 EP - 12 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 142 IS - 3 N2 - PURPOSE: To describe various morphologic patterns of diabetic macular edema (DME) demonstrated by optical coherence tomography (OCT) and correlate them with visual acuity. DESIGN: Retrospective, observational, case series. METHODS: A retrospective review of all patients with DME who underwent OCT evaluation and met the study inclusion criteria between May 1998 and December 2002 at the Cole Eye Institute was performed. The OCT scans were evaluated for the presence of diffuse retinal thickening (DRT), cystoid macular edema (CME), posterior hyaloidal traction (PHT), serous retinal detachment (SRD), and traction retinal detachment (TRD). Additionally, the retinal thickness was measured and visual acuity evaluated. RESULTS: Two hundred seventy-six OCT scans of 164 eyes of 119 patients were identified. OCT revealed five morphologic patterns of DME: DRT (269, 97%), CME (152, 55%), SRD without PHT (19, 7.0%), PHT without TRD (35, 12.7%), and PHT with TRD (8, 2.9%). Mean retinal thickness varied depending on the morphologic pattern. The mean visual acuities (Snellen equivalent) also varied between groups. Increasing retinal thickness in all patterns was significantly correlated with worse visual acuity (P < .005). The OCT patterns containing CME (P = .01) and PHT without TRD (P = .02) were also significantly associated with worse vision. CONCLUSIONS: DME exhibits at least five different morphologic patterns on OCT. There is a significant correlation between retinal thickness and visual acuity. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/16935584/Optical_coherence_tomographic_patterns_of_diabetic_macular_edema_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(06)00496-X DB - PRIME DP - Unbound Medicine ER -