To show the prognostic value of foveal microstructures using optical coherence tomography (OCT) for the restoration of inner segment/outer segment (IS/OS) junction layer following resolution of diabetic macular edema (DME).
Forty-one eyes of 39 patients with IS/OS damage at the time of DME that showed complete resolution of DME were included. Eyes were divided into 2 groups based on the IS/OS integrity at final visit, when edema was completely resolved: always damage group (damage at baseline and at final visit) and initial damage group (damage only at baseline). The OCT characteristics including the extent of the IS/OS damage, central subfield thickness (CST), maximum retinal thickness (MRT), presence or absence of subretinal fluid, duration of diabetic retinopathy, and duration of DME were studied. The integrity of IS/OS was evaluated at baseline and at last follow-up as percentage (0%-100%).
Forty-four percent of eyes (18 eyes) achieved complete restoration of IS/OS after resolution of DME. There was no significant difference in CST or MRT during DME between the 2 groups. The always damage group had more IS/OS damage at baseline visit (23.6% ± 6.4% vs 10.7% ± 3.4%, p = 0.043) with a longer duration of DME (p = 0.025). Despite a borderline significance in visual acuity between the 2 groups at baseline (p = 0.05), the always damage group ended up with worse vision at last follow-up (p<0.001).
Patients with shorter duration of DME and less baseline IS/OS damage were more likely to have intact (restored) IS/OS after resolution of DME.
Eur J Ophthalmol 2017; 27(5): 585 - 590
Article Type: ORIGINAL RESEARCH ARTICLE
AuthorsIlkay K. Muftuoglu, Erkan Unsal, Zeynep K. Ozturker
- • Accepted on 28/12/2016
- • Available online on 25/01/2017
- • Published in print on 30/08/2017
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- Muftuoglu, Ilkay K. [PubMed] [Google Scholar] 1, 2, * Corresponding Author (firstname.lastname@example.org)
- Unsal, Erkan [PubMed] [Google Scholar] 2
- Ozturker, Zeynep K. [PubMed] [Google Scholar] 2
Department of Ophthalmology, Jacobs Retina Center at the Shiley Eye Institute, University of California, San Diego, La Jolla, California - USA
Department of Ophthalmology, Istanbul Training and Research Hospital, Istanbul - Turkey