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Strategies in Diabetes GETOCT 3
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OCT from third to the fourth dimension
Thanks OCT, we obtain information to the third dimension. Flurescence angiography allows only limited statements about the spatial extent of processes
The retinal thickness is measured precisely with OCT and an objective quantification is possible. The fourth dimension means a precise control over the course of years at exactly the same place.
The measurements are comparable with each other really well. With OCT is a synchronous mapping and comparison over time is possible and changes are shown. In some OCT devices the scanning area is permanently adjusted, no matter where the patient looks. This is advantageous because the patient can’t fix very well in advanced diseases. From these cross sections thicknesses maps can be produced, even differences over time can be calculated.
Anti-VEGF for diabetic macular edema?
Anti-VEGF for diabetic macular edema has been investigated in many studies.
The combination with ranibizumab turns to an increase in visual acuity. the sole laser therapy worsened the situation at the beginning rather. The number of injections in the combined group with a laser can be reduced.
Immediate or delayed laser?
Another study on laser: what impact does an immediate or delayed laser? If successful, the strategy with immediate laser, a significant gain is produced. When laser was carried out somewhat later, however, a similarly good progress is produced. So it’s not a big difference whether immediate or slightly delayed laser is done.
The results with triamcinolone and laser show in the first 6 months of a profit, then drop due to cataract formation. The number of injections in this study is also at eight to nine injections per year.
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Strategies in Diabetes GETOCT 3
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