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MODERN METHODS OF LASER TREATMENT OF FOCAL DIABETIC MACULAR EDEMA

Abstract

Diabetic retinopathy (DR) is a disease belonging to the group of ischemic retinopathy, the prevalence of which is progressing. As it is known, the main cause of disability in diabetes mellitus is diabetic macular edema (DME). The article provides a review of domestic and foreign literature on topical methods of laser treatment of focal DME. A modern and noninvasive diagnostic method - optical coherence tomography-angiography has been a significant progress in the visualization of the microcirculatory bed, as well as the layers of the retina and choroid in clinical diagnostic studies of macular edema in DR. The necessity of a multimodal approach to the management of patients with DME to improve the clinical and functional results of treatment is emphasized. The currently used technologies for the treatment of DME, their advantages and disadvantages are described, data on the anatomical and functional result are given. The prospects of further improvement and use of combined techniques in the treatment of DME are considered. The prospects of further improvement and use of innovative laser technologies based on navigation systems and multimodal visualization data are considered.

About the Authors

E. Iu. Polyakova
ФГАУ «НМИЦ «МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова» Минздрава России
Russian Federation


P. L. Volodin
ФГАУ «НМИЦ «МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова» Минздрава России
Russian Federation


E. V. Ivanova
ФГАУ «НМИЦ «МНТК «Микрохирургия глаза» им. акад. С.Н. Федорова» Минздрава России
Russian Federation


References

1. Глобальный доклад по диабету [Global report on diabetes]. Женева: Всемирная организация здравоохранения. - 2018. - 88 с. Лицензия: CC BY-NC-SA 3.0 IGO.

2. Hendrick, A.M. Diabetic Retinopathy/ A.M. Hendrick, M.V. Gibson, A. Kulshreshtha// Prim Care. - 2015. - Sep. - Vol. 42, № 3. - P. 451-64.

3. Fluorescein angiography versus optical coherence tomography-guided planning for macular laser photocoagulation in diabetic macular edema/ I. Kozak [et al.] // Retina. - 2014. - Vol. 34. - P. 1600-1605.

4. Guidelines for the Management of Diabetic Macular Edema by the European Society of Retina Specialists (EURETINA) / Ursula Schmidt-Erfurth [et al.]//Ophthalmologica. - 2017. - Epub 2017 Apr 20. - Vol. 237, №4. - P. 185-222.

5. Comparison of the modified Early Treatment Diabetic Retinopathy Study and mild macular grid laser photocoagulation strategies for diabetic macular edema. Writing Committee for the Diabetic Retinopathy Clinical Research Network/ D.S. Fong [et al.]//Archives of Ophthalmology. - 2007. - Apr. - Vol. 125, №4. - P. 469-480.

6. Takatsuna, Y. Long-term therapeutic efficacy of the subthreshold micropulse diode laser photocoagulation for diabetic macular edema/, Y. Takatsuna, S. Yamamoto, Y. Nakamura //Jpn J Ophthalmol. - 2011. - Vol. 55. - P. 365-9.

7. Murakami A. Subthreshold Photocoagulation Using Endpoint Management in the PASCAL® System for Diffuse Diabetic Macular Edema// J Ophthalmol. - 2011. - Vol. Jan 31. 2018:7465794.

8. Non-damaging retinal phototherapy: Dynamic range of heat shock protein expression/ C. Sramek [et al.]// Invest Ophthalmol Vis Sci. - 2011. - Vol. 52. - P. 1780-7.

9. Heat shock protein 70 expression induced by diode laser irradiation onchoroid-retinal endothelial cells in vitro/ S. Du [et al.]// Molecular Vision. - 2012. - Vol. 18. - P. 2380-2387.

10. Response of the retinal pigment epithelium to selective photocoagulation/j. Roider [et al.]// Archives of Ophthalmology. - 1992. - Vol. 110. - P. 1786-1792.

11. Macular laser photocoagulation in the management of diabetic macular edema: Still relevant in 2020? / M. Zas [et al.]// Taiwan J Ophthalmol. - 2020. - Vol. 10, №2. - P. 87-94.

12. Changes of aqueous humor müller cells' biomarkers in human patients affected by diabetic macular edema after subthreshold micropulse laser treatment/ E. Midena E [et al.]// Retina. - 2020. - Vol. 40. - P. 126-34.

13. Longterm safety, high-resolution imaging, and tissue temperature modeling of subvisible diode micropulse photocoagulation for retinovascular macular edema/j.K. Luttrull [et al.]// Retina. - 2012. - Vol. 32. - P. 375-86.

14. Retro-Mode Scanning Laser Ophthalmoscopy Planning for Navigated Macular Laser Photocoagulation in Macular Edema/ V. Boiko [et al.]// Journal of Ophthalmology. - 2016. - Vol. 2016. - P. 1-7.

15. Efficacy of navigated focal laser photocoagulation in diabetic macular edema planned with en face optical coherence tomography versus fluorescein angiograp/ D.S. Maltsev [et al.]// Int Ophthalmol. - 2020. - Vol. 40, №8. - P. 1913-1921.

16. Első tapasztalataink diabeteses maculopathia Navilas® 577s mikropulzuslézer-készülékkel történő kezelésével [First experiences with Navilas® 577s micropulse laser in the treatment of diabetic maculopathy/ M. Ecsedy [et al.]// Orv Hetil. - 2020. - Vol. 161, №49. - P. 2078-2085.

17. Володин П.Л. Клиническая эффективность субпорогового лазерного лечения фокального диабетического макулярного отека с использованием навигационной системы (краткосрочные результаты)/ П.Л. Володин, Е.В. Иванова, Е.Ю. Полякова// Современные технологии в офтальмологии. - 2021. - № 3. - С. 217-221.


Review

For citations:


Polyakova E.I., Volodin P.L., Ivanova E.V. MODERN METHODS OF LASER TREATMENT OF FOCAL DIABETIC MACULAR EDEMA. Bashkortostan Medical Journal. 2022;17(2):61-65. (In Russ.)

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ISSN 1999-6209 (Print)