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Proceedings Paper

Photocoagulation as treatment of diabetic retinopathy
Author(s): J. Sanchez; L. Fernandez; Maria Lourdes de Pedraza; C. Gamella; R. Santervas
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Paper 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.

Paper Details

Date Published: 1 March 1992
PDF: 10 pages
Proc. SPIE 1524, Bioptics: Optics in Biomedicine and Environmental Sciences, (1 March 1992); doi: 10.1117/12.57730
Show Author Affiliations
J. Sanchez, Univ. Complutense (Spain)
L. Fernandez, Univ. Complutense (Spain)
Maria Lourdes de Pedraza, Univ. Complutense (Spain)
C. Gamella, Univ. Complutense (Spain)
R. Santervas, Univ. Complutense (Spain)

Published in SPIE Proceedings Vol. 1524:
Bioptics: Optics in Biomedicine and Environmental Sciences
Anna Maria Verga Scheggi; Oliverio D.D. Soares, Editor(s)

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