Serous macular detachment in diabetic cystoid macular oedema.

Abstract

PURPOSE:

To define serous macular detachment in patients with diabetic cystoid macular oedema (CME).

METHODS:

This study involved 78 eyes of 58 patients with diabetic CME. The patients underwent complete ophthalmic examination, fluorescein angiography and optical coherence tomography (OCT). Eyes with epiretinal membrane or vitreo-macular traction were not included in the study. Optical coherence tomography-3 was used in all patients and fundi were scanned on the horizontal, vertical and four oblique planes through the centre of the fovea.

RESULTS:

In all cases the increased thickness of the retina was related primarily to the hyporeflective intraretinal cavities. With OCT, 24 of 78 eyes (31%) had serous macular detachment as shown by retinal elevation over a non-reflective cavity with minimal shadowing of the underlying tissues. Fluorescein angiography did not show serous macular detachment in any patient.

CONCLUSIONS:

Our data showed that the incidence of serous macular detachment in diabetic CME was much higher than previously reported. Optical coherence tomography-3 allows an in vivo cross-sectional observation of very subtle serous macular detachment that is difficult to diagnose at the slit-lamp or by fluorescein angiography in patients with diabetic CME.

• Authors: Hakan Ozdemir, Murat Karacorlu, Serra Karacorlu
• Journal: Acta ophthalmologica Scandinavica (Acta Ophthalmol Scand) Vol. 83 Issue 1 Pg. 63-6 (Feb 2005) ISSN: 1395-3907 [Print] Denmark
• PMID: 15715559 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)

Topics

• Adult
• Aged
• Diabetes Mellitus, Type 1 (complications)
• Diabetes Mellitus, Type 2 (complications)
• Diabetic Retinopathy (complications, diagnosis)
• Exudates and Transudates
• Female
• Fluorescein Angiography
• Humans
• Incidence
• Macular Edema (complications, diagnosis)
• Male
• Middle Aged
• Prevalence
• Prospective Studies
• Retinal Detachment (diagnosis, etiology)
• Tomography, Optical Coherence