Revista de la Facultad de Medicina

Sensitivity of optical coherence tomography and fluorescein angiography in patients diagnosed with clinically significant macular edema due to diabetic retinopathy

DOI: https://doi.org/10.37345/23045329.v1i32.81

Artículos | Publicado: 2022-06-30

Autores:

  • María Alejandra Carías Morales
    Universidad Francisco Marroquín
  • Rodrigo Verdugo
    Hospital de Ojos y Oídos Doctor Rodolfo Robles Valverde

Introduction: Optical coherence tomography and fluorescein angiography are very useful ophthalmologic imaging studies for the diagnosis of diabetic macular edema. Objective: To describe the presence of diabetic macular edema diagnosed by means of optical coherence tomography and fluorescein angiography in patients with diabetic retinopathy who attend the Rodolfo Robles Hospital in the retinal vascular clinic. Methodology: Retrospective descriptive study carried out with data from images of 65 patients (118 eyes) diagnosed with diabetic macular edema at the Doctor Rodolfo Robles Valverde Hospital, Guatemala, during the year 2019.   Results: The diagnosis of macular edema made by the optical coherence study was 75% (95% CI: 66% - 82%), and that of fluorescein angiography was 66% (95% CI: 58% - 75%) Conclusion: Both imaging studies are equally useful for the diagnosis and management of diabetic macular edema. No significant evidence was found that the proportion of macular edema diagnoses was different between both imaging studies.

Porter, D. ¿Qué es un edema macular? American Academy of Ophthalmology. For public and patients. 2022, Marzo. https://www.aao.org/salud-ocular/enfermedades/edema-macular

Bandello, F., Battaglia Parodi, M., Lanzetta, P., Loewenstein, A., Massin, P., Menchini, F., Veritti, D. Diabetic Macular Edema. Dev Ophthalmol. 2017, March; 58: 102-138. https://doi.org/10.1159/000455277

Danis, R.P., Scott, I.U., Qin, H., Altaweel, M.M., Bressler, N.M., Bressler, S.B., Browning, D.J., Kollman, C. Association of fluorescein angiographic features with visual acuity and with optical coherence tomographic and stereoscopic color fundus photographic features of diabetic macular edema in a randomized clinical trial. Retina 2010, Nov.; 30(10):p 1627–1637. https://doi.org/10.1097/IAE.0b013e3181dde5f5

Kang, S.W., Park, C.Y., Ham, D.I. The correlation between fluorescein angiographic and optical coherence tomographic features in clinically significant diabetic macular edema. Am J Ophthalmol. 2004, Feb.; 137(2): 313–322. https://doi.org/10.1016/j.ajo.2003.09.016

Browning, D.J., Glassman AR, Aiello LP, Beck RW, Brown DM, et al. Relationship between optical coherence tomography-measured central retinal thickness and visual acuity in diabetic macular edema. Ophthalmology. 2007, March; 114(3): 525–536. https://doi.org/10.1016/j.ophtha.2006.06.052

Yeung, L., Castro Lima, V., García, P., Landa, G., Rosen, R.B. Correlation between spectral domain optical coherence tomography findings and fluorescein angiography patterns in diabetic macular edema. Ophthalmology 2009, June; 116(6): 1158–1167. https://doi.org/10.1016/j.ophtha.2008.12.063

Cohen, S.R., Gardner, T.W. Diabetic retinopathy and diabetic macular edema. Retinal Pharmacotherapeutics. Dev Ophthalmol. Basel, Karger. 2016; 55: 137–146. https://doi.org/10.1159/000438970

Colop, D. B. Situación Epidemiológica Enfermedades No Transmisibles en Guatemala Ministerio de Salud Pública y Social. 2019. http://epidemiologia.mspas.gob.gt/files/Publicaciones%202019/ENT/Situacion%20epidemiologica%20ENT%20mayo%202019.pdf

Wong, T., Cheung, C.M., Larsen, M., Sharma, S., Simó, R. Diabetic retinopathy. Nat Rev Dis Primers. 2016, March; 2: 16012. https://doi.org/10.1038/nrdp.2016.12

Virgili, G., Menchini, F., Casazza, G., Hogg, R., Das, R.R., Wang, X., Michelessi, M. Optical coherence tomography (OCT) for detection of macular oedema in patients with diabetic retinopathy. Cochrane Database Syst Rev. 2015, January; 1: CD008081. https://doi.org/10.1002/14651858.CD008081.pub3

Klein, R., Klein, B. Cowie, C.C., Stark Casagrande, S., Menke, A., Cissell, M., Eberhardt, M.S., Meigs, J.B., Gregg, E.W., Knowler, W.C., Barrett-Conor, E., Becker, D.J., Brancati, F.L., Boyko, E.J., Herman, W.H., Howard, B.V., Venkat Narayan, K.M., Rewers, M., Fradkin, J.E. Epidemiology of Ocular Functions and Diseases in Persons with Diabetes. In: Diabetes in America. 3rd. ed., Bethesda, National Institute of Diabetes and Digestive and Kidney Diseases (US). 2018, Aug., Chapter 21. https://pubmed.ncbi.nlm.nih.gov/33651534/

Kwan, C.C., Fawzi, A.A. Imaging and biomarkers in diabetic macular edema and diabetic retinopathy. Curr Diab Rep. 2019, August; 19(10): 95. https://doi.org/10.1007/s11892-019-1226-2

https://revista-medicina.ufm.edu

Facultad de Medicina de la Universidad Francisco Marroquín

Email: revistamedicina@ufm.edu

ISSN online 2304-5353 / ISSN printed 2304-5329

 

Cómo citar

Sensitivity of optical coherence tomography and fluorescein angiography in patients diagnosed with clinically significant macular edema due to diabetic retinopathy. (2022). Revista De La Facultad De Medicina, 1(32), 54-66. https://doi.org/10.37345/23045329.v1i32.81