Effectiveness of Panretinal Photocoagulation in Treatment of Diabetic Retinopathy

Dijah Dijah (1) , Erwin Iskandar (2) , Ine Renata Musa (3)
(1) Department of Ophthalmology Faculty of Medicine, Padjadjaran University Cicendo Eye Hospital, Bandung, West Java , Indonesia
(2) Department of Ophthalmology Faculty of Medicine, Padjadjaran University Cicendo Eye Hospital, Bandung, West Java , Indonesia
(3) Department of Ophthalmology Faculty of Medicine, Padjadjaran University Cicendo Eye Hospital, Bandung, West Java , Indonesia

Abstract

Background: Diabetic retinopathy is leading cause of blindness, is preventable, in whole of the world. Panretinal photocoagulation is a well-established treatment to induce regression of new blood vessels in diabetic retinopathy. This study to assess effectiveness of panretinal photocoagulation in treatment of diabetic retinopathy.

Methods: We enrolled in retrospective study, using data from medical records of patients with proliferative diabetic retinopathy and severe non proliferative diabetic retinopathy between 2009 and 2011, and were assessed for visual acuity and fundus stability minimal 6 weeks after panretinal photocoagulation complete.

Results: Panretinal photocoagulation was perfomed in 435 eyes (295 patients), with proliferative diabetic retinopathy was recognized in 245 eyes, and severe non proliferative diabetic retinopathy in 190 eyes. In cases of patients with proliferative diabetic retinopathy stabilization of visual acuity was observed in 137 (55,92%) of eyes and stabilization of the eye fundus in 119 (48,57%) of eyes. In patients with severe non proliferative diabetic retinopathy stabilization of visual acuity was found in 141 (74,21%) of eyes and stabilization of state of the eye fundus in 147 (77,37%) of eyes.

Conclusion: Panretinal photocoagulation as gold standart therapy effectiveness to treatment proliferative diabetic retinopathy and severe non proliferative diabetic retinopathy to adhered visual acuity stability dan fundus stability.

Full text article

Generated from XML file

References

Qureshi T. Visual outcome after laser photocoagulation in diabetic retinopathy.Thesis submitted for award of MCH Government medical college, Address for Correspondence: Dr. Tariq Associate Professor Postgraduate Department of Ophthalmology.

Neubauer AS, Ulbig MW. Laser treatment in diabetic retinopathy. Department of ophthalmology, Ludwig Maximilians University, Munich, Germany. Ophthalmologica.2007;221(2):95-102

Dogru M, Nakamura M, Inoue M, Yamammoto M. Long- term visual outcome in proliferative diabetic retinopathy patients after panretinal photocoagulation. Jpn J Ophthalmol. 1999;43;217-24

El-Bradey MH. Panretinal Photocoagulation (PRP) for Proliferative Diabetic Retinopathy (Pearls and Pitfalls). Assistant Professor of Ophthalmology, Tanta University.

Jalali S. Principles of laser treatment and How to get good outcomes in a patient with Diabetic Retinopathy. Lv Prasad Eye Institute Hyderabad. 2004;6(1):4-8

Shrestha S, Karki DB, Byanju R, Mulla DK, Shreshtha SM, Pradhananga CL. Visual outcome of laser treatment in diabetic retinopathy. Kathmandu Univ M. Journal 2007; 5(1): 72-80.

Rema M, Sujatha P, Pradeepa R. Visual outcomes of pan- retinal photocoagulation in diabetic retinopathy at one-year follow-up and associated risk factors. Indian J Ophthalmol. 2005; 53: 93-9

Mitchell P, Foran S, Wong TY, Chua B, Patel I, Ojaimi E, Foran J. Guiedlines for the Management of Diabetic Retinopathy, Australian Diabetes Society for the Department of Health and Aging, Centre for Vision Reseach, University of Sydney, Commonwealth of Australia. 2008;78-90

American Academy of Ophthalmology. Basic and Clincal Science Course. Retina and Vitreous. Bagian ke-12. San Fransisco. 2011 – 2012; 109-32

Mahmoud A. O. Failure of pan-retinal laser photocoagulation to regress neovascularisation in proliferative diabetic retinopathy – 3 case reports. Nigerian Journal of Ophthalmology. 2006; 13(2): 54–7

Zing-Ma J, Sarah X-hang. Endogenous Angiogenic Inhibitors in Diabetic Retinopathy. Dalam: Ocular Angiogenesis Disease. New Jersey. Humana Press. 2006;23-35.

Ciulla T, Amador A, Zinman B. Diabetic Retinopathy and Diabetic Macular edema, pathophysiology, screening, and novel therapies. Diabetes care. 2003;26:2653-64

Pandelaki K. Retinopati Diabetik. Dalam : Sudoyo AW, Setyiohadi B, Alwi I, Simadibrata KM, Setiati S, editors. Retinopati Diabetik. Ilmu Penyakit Dalam. Jilid III. Edisi IV. Jakarta: Pusat Penerbitan Ilmu Penyakit Dalam Fakultas Kedokteran Universitas Indonesia.2007;.1857,1889-1893.

Rema M, Pradeepa R Diabetic retinopathy: An Indian perspective. Madras Diabetes Research Foundation & Dr Mohan’s Diabetes Specialities Centre, Chennai, India. Indian J Med Res 125.March 2007;297-310.

Klein R, Lee KE, Gangnom RE, Klein BEK. The 25- year incidence of visual impairment in type 1 diabetes mellitus, The Wisconsin Epidemiologic Study of Diabetic Retinopathy. Ophthalmology. 2010; 117:63-70.

Kaiser RS, Maguire MG, Grunwald JE, Lieb D, Jani B, Brucker AJ, Maguire AM, Ho AC, Fine SL. One-year outcomes of panretinal photocoagulation in proliferative diabetic retinopathy. Am J Ophthalmol. 2000;129(2):178-85

Treatment techniques and clinical guidlines for photocoagulation of diabetic macular edema. Early Treatment Diabetic Retinopathy Study Report Number 2. Early Treatment Diabetic Retinopathy Study Reaseach 
Group. Ophthalmology.1987;94:761-74

Lang GE. Laser treatment of Diabetic Retinopathy. 
Augenklinik Universiti Ulm Germany. Dev Ophthalmol. Basel, Karger.2007;39:48-68

Wilczyński M, Dzivgielewski K. Results of laser photocoagulation in patients with diabetic retinopathy developed as a complication of diabetes type 2. Kliniki Chorób Oczu Katedry Chorób Oczu Uniwersytetu Medycznego w Lodzi.Klin Oczna 2006;108(1-3):66-9

Qian Z, Zhu L, Zhao C. Observation on clinical effects of panretinal coagulation for diabetic retinopathy. Yan Ke Xue Bao.2002;18(2):99-101

Authors

Dijah Dijah
author@perdami.or.id (Primary Contact)
Erwin Iskandar
Ine Renata Musa
Dijah, D., Iskandar, E., & Musa, I. R. (2015). Effectiveness of Panretinal Photocoagulation in Treatment of Diabetic Retinopathy. Ophthalmologica Indonesiana, 41(1). https://doi.org/10.35749/journal.v41i1.2
Copyright and license info is not available

Article Details

How to Cite

Dijah, D., Iskandar, E., & Musa, I. R. (2015). Effectiveness of Panretinal Photocoagulation in Treatment of Diabetic Retinopathy. Ophthalmologica Indonesiana, 41(1). https://doi.org/10.35749/journal.v41i1.2