Summary:
The authors evaluate the results of treatment of proliferative diabetic retinopathy
by panretinal photocoagulation with an argon laser in a group of 122 eyes, 89
patients, with a mean follow-up period of 4.7 years. They achieved complete
regression of revascularization of 69 % eyes, partial regression in 21 % eyes. In
10% eyes they treatment failed. The resulting visual acuity was 6/12 and better in
41% eyes, a visual acuity worse than 6/60 was recorded in 11 % eyes. It remained
unaltered in 70 % eyes, deteriorated in 19 %. The authors evaluated the success
rate of laser photocoagulation in relation to the stage and site of neovascularizations. They found that the poorest reaction to panretinal photocoagulation is
obtained in advanced neovascularization of the disc andthey remind of the known
view that advanced neovascularizations display a certain grade of autonomy
which is the cause of a poorer response to panretinal photcogaulation. They
confirm former observations that if signs of regression of neovascularization
develop early, within 3-6 weeks after the onset of laser photocoagulation this may
be considered a prognostically favourable sign.
Key words:
proliferative diabetic retinopathy, laser photocoagulation
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