1 March 1992 Photocoagulation as treatment of diabetic retinopathy
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Proceedings Volume 1524, Bioptics: Optics in Biomedicine and Environmental Sciences; (1992) https://doi.org/10.1117/12.57730
Event: Bioptics: Optics in Biomedicine and Environmental Studies, 1991, Porto, Portugal
Abstract
Diabetes Mellitus is a chronic disease that is revealed with a lot of alterations due to factors such as an absolute or relative reduction of the insulin. It is usually accompanied by generalized arteriosclerosis and prepares for certain microvasculares pathologies such as retinopathy, nefropathy, and neuropathy. The first effects of diabetes in the retina seem to act on the capillaries. The functional modifications of the retinal circulation appear before the structural ones. These consist of the blood flux damage and the obligation of the hematorretinal barrier with extravasacy as can be proved in the fluorophotometry of the vitreous humor. Nowadays, medical treatments are more effective and only vitrectomy and photocoagulation are used in diabetic retinopathy. For that, the argon laser and the xenon arch are used. The treatment is usually spread panretine, with coagulation in a grid pattern around the eye, avoiding the macula and other vital structures, and treating the neoformed blood vessels. The rate of grave visual loss in the studies carried out with there techniques was 12 in relation to 28 in the non-treated cases. The most important factors of risk found, were the discal neoformed blood vessels and the hemorrhage of the vitreous humor. Adverse effects were found such as the reduction of visual sharpness and the contrition of the visual field, these are greater in patients treated with the xenon arch than in those treated with the argon laser.
© (1992) COPYRIGHT Society of Photo-Optical Instrumentation Engineers (SPIE). Downloading of the abstract is permitted for personal use only.
J. Sanchez, J. Sanchez, L. Fernandez, L. Fernandez, Maria Lourdes de Pedraza, Maria Lourdes de Pedraza, C. Gamella, C. Gamella, R. Santervas, R. Santervas, } "Photocoagulation as treatment of diabetic retinopathy", Proc. SPIE 1524, Bioptics: Optics in Biomedicine and Environmental Sciences, (1 March 1992); doi: 10.1117/12.57730; https://doi.org/10.1117/12.57730
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