Diabetic Retinopathy
Conditions
Keywords
diabetic retinopathy, photocoagulation, PASCAL laser
Brief summary
This study will investigate the clinical efficacy and safety of the PASCAL laser (PAttern SCAn Laser) for diabetic retinopathy. Patients with proliferative or severe nonproliferative retinopathy will be treated with panretinal photocoagulation utilizing different treatment strategies. The investigators believe that using lower laser parameters, the clinical response may be equivalent with less adverse effects.
Interventions
Panretinal photocoagulation utilizing 100ms pulse duration, moderate intensity burns, in a single-shot fashion
Sponsors
Study design
Eligibility
Inclusion criteria
* proliferative or severe nonproliferative diabetic retinopathy (type 1 or type 2) * best corrected visual acuity of 20/50 or better * capability to read and follow instructions * capability to sign the consignment term
Exclusion criteria
* best corrected visual acuity worse than 20/50 * significant macular edema responsible for visual acuity lower than 20/50 * media opacities (includes vitreous hemorrhage in the visual axis, but not a reabsorbing inferior vitreous hemorrhage) * previous laser treatment (PRP, focal or macular grid) * glaucoma (confirmed or suspicious) * other diseases of the retina and optic nerve * previous ocular surgery in the last 6 months * impossibility to obtain good quality images of retinography, angiography or OCT
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of severe visual loss after 1 year | 1 year | Severe visual loss is defined as visual acuity worse or equal to 5/200 in two consecutive visits (DRS/ETDRS primary outcome) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Clinical involution of retinal new vessels | 1 year | Clinical involution of retinal new vessels will be evaluated with retinography and fluorescein angiography |
| Nerve fiber layer thickness | 1 year | Nerve fiber layer thickness will be evaluated with Spectral Domain OCT |
| Retinal sensitivity | 1 year | Retinal sensitivity will be evaluated with Humphrey computerized perimetry and FDT (Frequency Doubling Technology) |
Countries
Brazil