Diabetic Retinopathy, Lasers, Treatment Outcome
Conditions
Brief summary
A randomized study to assess the safety and efficacy of single-session pan-retinal photocoagulation (PRP) using Pattern Scan Laser (PASCAL) in proliferative diabetic retinopathy (PDR) - 1,700 shots vs 2,500 shots
Interventions
Patients receive the designated number of laser shots of pan-retinal photocoagulation with pattern scanning laser in a single session
Sponsors
Study design
Eligibility
Inclusion criteria
* All treatment-naïve patients with proliferative diabetic retinopathy (PDR) who attended our ophthalmic clinic from 1st December 2012 to 30th November
Exclusion criteria
* significant media opacity affecting laser uptake (e.g. corneal opacity, mature cataract, dense vitreous haemorrhage) * any pre-existing ocular disorders resulting in visual impairment (e.g. retinal degenerations, maculopathies, primary glaucoma and other optic neuropathies) * those who received previous retinal laser treatment, intravitreal injections or intraocular surgeries * clinically significant macular oedema on clinical examination.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Regression of neovascularization | 3 months | Fluorescein angiogram assessment by independent observer |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Activity of neovascularization | 3 months | Descriptive analysis of fundus fluorescein angiogram by independent observer into 4 categories: no leakage, reduced leakage, same leakage, increased leakage |
| Best corrected visual acuity | 1 week, 1 month, 3 months, 6 months | — |
| Complications | 1 week, 1 month, 3 months, 6 months | choroidal detachment, exudative retinal detachment, retinal breaks |
| Central foveal thickness | 1 week | Measured by spectral domain optical coherence tomography (Heidelberg Spectralis) |
| Retreatment rate | 6 months | Patients requiring retreatment with pan-retinal photocoagulation |