Xenon arc photocoagulation for the treatment of diabetic maculopathy. Interim report of a multicentre controlled clinical study.
نویسندگان
چکیده
The results of a randomised controlled clinical study in the treatment of diabetic maculopathy are reported. Ninety-nine patients with two similarly affected eyes had one--chosen by random procedure--treated, while the other was left as an untreated control. Visual acuity was maintained in the treated eyes, while it deteriorated in the untreated eyes, reaching over 2 lines difference after 4 years. The difference in deterioration was significantly less in treated than in untreated eyes at each assessment. After 4 years the difference between the 2 eyes was greatest in those with initially good vision. There was no difference in visual acuity in patients whose initial vision was less than 6/36. Only 9 treated but 25 control eyes lost vision to blindness (P less than 0.001). It is concluded that maculopathy is a treatable form of diabetic retinopathy if treated before severe visual loss occurs.
منابع مشابه
Fully informed consent can be needlessly cruel.
levels in the metabolic derangement of diabetes. N Engl J. Med 1984;310: 810-5. 19 Hyer SL, Sharp PS, Brooks RA, Burrin JM, Kohner EM. Serum IGF-1 concentration in diabetic retinopathy. Diabetic Med 1988;5:356-60. 20 Sharp PS, Fallon TJ, Brazier OJ, Sandler L, Joplin GF, Kohner EM. Long term follow up of patients who underwent yttrium-90 pituitary implantation for treatment of proliferative ret...
متن کاملProliferative diabetic retinopathy: treatment with xenon-arc photocoagulation. Interim report of multicentre randomised controlled trial.
One hundred patients with symmetrical proliferative diabetic retinopathy had one eye randomly chosen for treatment with xenonarc photocoagulation while the other was left untreated as a control. Patients were subdivided into those with new vessels on both optic discs and those with only peripheral new vessels. In patients with new vessels on the optic discs the vision of the untreated eyes dete...
متن کاملA comparative trial of xenon arc and argon laser photocoagulation in the treatment of proliferative diabetic retinopathy.
We present the results of a randomised study comparing xenon arc and argon laser photocoagulation in the treatment of proliferative diabetic retinopathy. Our results show that when used in the way described below there is no significant difference between the effect of the 2 treatments on optic disc neovascularisation and visual acuity. We also compare the results of peripheral retinal ablation...
متن کاملThe 5-year prognosis for vision in diabetes.
DIABETIC retinopathy is a common cause of blindness. The introduction of photocoagulation treatment has stimulated interest in this condition and several well designed and properly controlled studies have shown that either xenon arc or argon laser photocoagulation therapy can arrest or delay the progression of diabetic retinopathy.1-7 This treatment is now available at many centres in the UK, a...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The British journal of ophthalmology
دوره 64 6 شماره
صفحات -
تاریخ انتشار 1980