Clinical examination accurately locates capillary nonperfusion in diabetic retinopathy - 18/08/11
, Bari M. Brandt, MD d, Gerald McGwin, MS, PhD a, b, c
Inquiries to James A. Kimble, MD, Retina Specialists of Alabama, Suite 300, 1201 11th Avenue South, Birmingham, AL 35205; fax: 205-558-2553Résumé |
Purpose |
To help the ophthalmologist who wishes to know the perfusion status of the retina outside the macula, we determined whether clinical examination can predict capillary nonperfusion in diabetic retinopathy (DR) as accurately as fluorescein angiography (FA).
Design |
Prospective observational case series.
Methods |
setting: Clinical practice. study population: Both eyes of 20 patients with clinically significant diabetic macular edema (CSME). observation procedure: The location of capillary nonperfusion was recorded following 90-diopter lens slit-lamp biomicroscopy, and the same measurements made on FA. main outcome measure: In the nasal and temporal quadrants of each eye, the clinical results were compared with the “gold standard” FA.
Results |
Most patients (84%) had definite peripheral capillary nonperfusion. Biomicroscopy results were highly correlated with angiography, with only a few differences of clinical importance.
Conclusions |
Clinical examination can determine the location of capillary nonperfusion in DR with a high degree of accuracy.
Le texte complet de cet article est disponible en PDF.| Dr. McGwin’s participation was made possible by grants from the National Eye Institute R21-Ey14071, Eye Sight Foundation of Alabama, Birmingham, AL, and Research to Prevent Blindness, Inc, New York, NY. |
Vol 139 - N° 3
P. 555-557 - mars 2005 Retour au numéro
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