Comparison of Subthreshold 532 nm Diode Micropulse Laser with Conventional Laser Photocoagulation in the Treatment of Non-Centre Involved Clinically Significant Diabetic Macular Edema.

Abstract

BACKGROUND:

The aim of the study was to investigate the effect of the 532 nm (green) diode subthreshold micropulse laser (SML) in the treatment of non-centre involved clinically significant macular edema (CSME) in comparison to the conventional laser photocoagulation (CLP).

METHODS:

A total of 60 eyes of patients diagnosed with non-centre involved CSME were randomly divided into two groups. SML photocoagulation was performed in the first group (G1), while CLP in the second one (G2). Central macular thickness (CMT) and best corrected visual acuity (BCVA) were measured prior to treatment and at 3 and 6 months after intervention.

RESULTS:

G1 participants had significantly better CMT at 6 months after laser application (p = 0.04) compared to G2. Additionally, CMT in both groups was significantly lower 6 months after laser application in comparison to baseline values (G1: p < 0.001, G2: p = 0.002). Moreover, significant improvement was detected 6 months after SML in G1 regarding BCVA compared to values before laser treatment (p = 0.001).

CONCLUSION:

SML was more effective than CLP in reducing CMT and improving BCVA in patients with non-centre involved CSME. Therefore, it seems that SML can be a good substitute for CLP in DME treatment if confirmed in future studies.

• Authors: Panagiota Bougatsou, Eirini-Kanella Panagiotopoulou, Maria Gkika, Doukas Dardabounis, Aristeidis Konstantinidis, Haris Sideroudi, Irfan Perente, Georgios Labiris
• Journal: Acta medica (Hradec Kralove) (Acta Medica (Hradec Kralove)) Vol. 63 Issue 1 Pg. 25-30 ( 2020) ISSN: 1805-9694 [Electronic] Czech Republic
• PMID: 32422113 (Publication Type: Comparative Study, Journal Article, Randomized Controlled Trial)

Topics

• Aged
• Diabetic Retinopathy (pathology, physiopathology, surgery)
• Female
• Humans
• Laser Coagulation (methods)
• Lasers, Semiconductor
• Macular Edema (pathology, physiopathology, surgery)
• Male
• Middle Aged
• Treatment Outcome
• Visual Acuity