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The predictive value of patient and eye characteristics on the course of subclinical diabetic macular edema.

Publication ,  Journal Article
Browning, DJ; Fraser, CM
Published in: Am J Ophthalmol
January 2008

PURPOSE: To define the course of subclinical diabetic macular edema (DME) and identify any predictors of progression to clinically significant DME. DESIGN: Retrospective, observational case series. SETTING: Private retina practice. PATIENT POPULATION: One hundred and fifty-three eyes of 153 patients with diabetic retinopathy and subclinical DME. OBSERVATION PROCEDURES: Clinical charts review and longitudinal optical coherence tomography (OCT) measurements. MAIN OUTCOME MEASURES: Change in OCT values and time to eventual treatment for clinically significant DME. RESULTS: Over a median follow-up of 14 months (interquartile range, seven to 25 months), 48 of 153 eyes (31.4%) progressed to clinically significant DME. The numbers (%) of eyes showing decreased, unchanged, and increased central subfield mean thickness were 16 (10.5%), 117 (76.5%), and 20 (13.1%), respectively. None of the patients or eye variables typically assessed in clinical practice was predictive of progression from subclinical DME to clinically significant DME. CONCLUSIONS: Progression from subclinical DME to clinically significant DME may be detected by serial clinical and OCT assessment. Subclinical DME does not inexorably progress over time scales of one to two years, and a substantial fraction of eyes spontaneously improve. Follow-up intervals of four to six months allowed detection of progression to clinically significant DME. In this sample of patients, OCT did not help in predicting which eyes with subclinical DME would progress to clinically significant DME.

Duke Scholars

Published In

Am J Ophthalmol

DOI

ISSN

0002-9394

Publication Date

January 2008

Volume

145

Issue

1

Start / End Page

149 / 154

Location

United States

Related Subject Headings

  • Visual Acuity
  • Tomography, Optical Coherence
  • Retrospective Studies
  • Predictive Value of Tests
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Macular Edema
  • Humans
  • Female
 

Citation

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Browning, D. J., & Fraser, C. M. (2008). The predictive value of patient and eye characteristics on the course of subclinical diabetic macular edema. Am J Ophthalmol, 145(1), 149–154. https://doi.org/10.1016/j.ajo.2007.08.038
Browning, David J., and Christina M. Fraser. “The predictive value of patient and eye characteristics on the course of subclinical diabetic macular edema.Am J Ophthalmol 145, no. 1 (January 2008): 149–54. https://doi.org/10.1016/j.ajo.2007.08.038.
Browning, David J., and Christina M. Fraser. “The predictive value of patient and eye characteristics on the course of subclinical diabetic macular edema.Am J Ophthalmol, vol. 145, no. 1, Jan. 2008, pp. 149–54. Pubmed, doi:10.1016/j.ajo.2007.08.038.
Journal cover image

Published In

Am J Ophthalmol

DOI

ISSN

0002-9394

Publication Date

January 2008

Volume

145

Issue

1

Start / End Page

149 / 154

Location

United States

Related Subject Headings

  • Visual Acuity
  • Tomography, Optical Coherence
  • Retrospective Studies
  • Predictive Value of Tests
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Macular Edema
  • Humans
  • Female