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Optical coherence tomography features during the evolution of serous retinal detachment in patients with diabetic macular edema.
Am J Ophthalmol. 2008 Feb; 145(2):289-296.AJ

Abstract

PURPOSE

To characterize the evolution of serous retinal detachment (SRD) combined with diabetic macular edema (DME) using optical coherence tomography (OCT).

DESIGN

Observational retrospective case series.

METHODS

In our institution, 64 eyes of 40 diabetic patients who had SRD combined with DME were studied. All patients had fluorescein angiography and several OCT3 examinations during follow-up. Foveolar neuroretinal thickness (NRT) and SRD height were measured. The evolution of OCT macular profiles was qualitatively assessed.

RESULTS

Mean follow-up was 11.8 months. DME was focal in 10 eyes (15.6%), diffuse in 17 (26.6%) and both diffuse and focal in 37 (57.8%). Mean initial decimal visual acuity (VA), NRT, and SRD height (+/- standard deviation) were 0.35 +/- 0.21, 346.88 +/- 138.61 and 199.48 +/- 139.8 microm, respectively. SRD height did not correlate with VA (P = .23) or NRT (P = .31). In 13 eyes (20.3%), NRT above the SRD was normal. In the 19 eyes where DME improved during follow-up, SRD disappeared before the maximal reduction of retinal thickness in seven eyes (36.8%) and after or simultaneously with this reduction, in 12 eyes (63.2%). Among the 45 eyes where DME worsened during follow-up, SRD disappeared from 15 eyes (33.3%).

CONCLUSION

In this series, SRD height did not correlate with retinal thickening. The latter may appear before central neuroretinal thickening and disappear before or after its regression. Consequently, SRD does not seem to be related either to the severity of DME or to its resorption.

Authors+Show Affiliations

Department of Ophthalmology, Assistance Publique des Hôpitaux de Paris, Hôpital Lariboisière, 2 rue Ambroise Paré, Paris cedex 10, France. david.gaucher@lrb.aphp.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18054885

Citation

Gaucher, David, et al. "Optical Coherence Tomography Features During the Evolution of Serous Retinal Detachment in Patients With Diabetic Macular Edema." American Journal of Ophthalmology, vol. 145, no. 2, 2008, pp. 289-296.
Gaucher D, Sebah C, Erginay A, et al. Optical coherence tomography features during the evolution of serous retinal detachment in patients with diabetic macular edema. Am J Ophthalmol. 2008;145(2):289-296.
Gaucher, D., Sebah, C., Erginay, A., Haouchine, B., Tadayoni, R., Gaudric, A., & Massin, P. (2008). Optical coherence tomography features during the evolution of serous retinal detachment in patients with diabetic macular edema. American Journal of Ophthalmology, 145(2), 289-296.
Gaucher D, et al. Optical Coherence Tomography Features During the Evolution of Serous Retinal Detachment in Patients With Diabetic Macular Edema. Am J Ophthalmol. 2008;145(2):289-296. PubMed PMID: 18054885.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Optical coherence tomography features during the evolution of serous retinal detachment in patients with diabetic macular edema. AU - Gaucher,David, AU - Sebah,Clemence, AU - Erginay,Ali, AU - Haouchine,Belkacem, AU - Tadayoni,Ramin, AU - Gaudric,Alain, AU - Massin,Pascale, Y1 - 2007/12/11/ PY - 2007/04/06/received PY - 2007/09/20/revised PY - 2007/09/21/accepted PY - 2007/12/7/pubmed PY - 2008/3/21/medline PY - 2007/12/7/entrez SP - 289 EP - 296 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 145 IS - 2 N2 - PURPOSE: To characterize the evolution of serous retinal detachment (SRD) combined with diabetic macular edema (DME) using optical coherence tomography (OCT). DESIGN: Observational retrospective case series. METHODS: In our institution, 64 eyes of 40 diabetic patients who had SRD combined with DME were studied. All patients had fluorescein angiography and several OCT3 examinations during follow-up. Foveolar neuroretinal thickness (NRT) and SRD height were measured. The evolution of OCT macular profiles was qualitatively assessed. RESULTS: Mean follow-up was 11.8 months. DME was focal in 10 eyes (15.6%), diffuse in 17 (26.6%) and both diffuse and focal in 37 (57.8%). Mean initial decimal visual acuity (VA), NRT, and SRD height (+/- standard deviation) were 0.35 +/- 0.21, 346.88 +/- 138.61 and 199.48 +/- 139.8 microm, respectively. SRD height did not correlate with VA (P = .23) or NRT (P = .31). In 13 eyes (20.3%), NRT above the SRD was normal. In the 19 eyes where DME improved during follow-up, SRD disappeared before the maximal reduction of retinal thickness in seven eyes (36.8%) and after or simultaneously with this reduction, in 12 eyes (63.2%). Among the 45 eyes where DME worsened during follow-up, SRD disappeared from 15 eyes (33.3%). CONCLUSION: In this series, SRD height did not correlate with retinal thickening. The latter may appear before central neuroretinal thickening and disappear before or after its regression. Consequently, SRD does not seem to be related either to the severity of DME or to its resorption. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/18054885/Optical_coherence_tomography_features_during_the_evolution_of_serous_retinal_detachment_in_patients_with_diabetic_macular_edema_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(07)00852-5 DB - PRIME DP - Unbound Medicine ER -