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Wide-field imaging in proliferative diabetic retinopathy
BACKGROUND: Diabetic retinopathy (DR) is one of the leading causes of vision loss worldwide. For decades, 7-field 30-degree fundus imaging has been the gold standard for DR classification. The aim of this review article is to discuss how the advent of ultra-wide-field (UWF) fundus imaging has change...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6907100/ https://www.ncbi.nlm.nih.gov/pubmed/31890283 http://dx.doi.org/10.1186/s40942-019-0170-2 |
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author | Liu, T. Y. Alvin Arevalo, J. Fernando |
author_facet | Liu, T. Y. Alvin Arevalo, J. Fernando |
author_sort | Liu, T. Y. Alvin |
collection | PubMed |
description | BACKGROUND: Diabetic retinopathy (DR) is one of the leading causes of vision loss worldwide. For decades, 7-field 30-degree fundus imaging has been the gold standard for DR classification. The aim of this review article is to discuss how the advent of ultra-wide-field (UWF) fundus imaging has changed the management of proliferative diabetic retinopathy (PDR). MAIN BODY: Current data suggests that UWF imaging, as compared to conventional Early Treatment Diabetic Retinopathy Study (ETDRS) fields, detects additional and more extensive PDR pathologies. DR lesions, captured by UWF imaging outside of ETDRS fields, likely carry prognostication value. CONCLUSION: UWF imaging represents a major advancement in the detection and management of DR. It remains unclear whether, when and how patients, with PDR changes only peripheral to standard ETDRS fields, should be treated. A larger, prospective, randomized clinical trial is also needed to compare the efficacy of UWF image-guided targeted laser photocoagulation with that of conventional panretinal photocoagulation. |
format | Online Article Text |
id | pubmed-6907100 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-69071002019-12-30 Wide-field imaging in proliferative diabetic retinopathy Liu, T. Y. Alvin Arevalo, J. Fernando Int J Retina Vitreous Review BACKGROUND: Diabetic retinopathy (DR) is one of the leading causes of vision loss worldwide. For decades, 7-field 30-degree fundus imaging has been the gold standard for DR classification. The aim of this review article is to discuss how the advent of ultra-wide-field (UWF) fundus imaging has changed the management of proliferative diabetic retinopathy (PDR). MAIN BODY: Current data suggests that UWF imaging, as compared to conventional Early Treatment Diabetic Retinopathy Study (ETDRS) fields, detects additional and more extensive PDR pathologies. DR lesions, captured by UWF imaging outside of ETDRS fields, likely carry prognostication value. CONCLUSION: UWF imaging represents a major advancement in the detection and management of DR. It remains unclear whether, when and how patients, with PDR changes only peripheral to standard ETDRS fields, should be treated. A larger, prospective, randomized clinical trial is also needed to compare the efficacy of UWF image-guided targeted laser photocoagulation with that of conventional panretinal photocoagulation. BioMed Central 2019-12-12 /pmc/articles/PMC6907100/ /pubmed/31890283 http://dx.doi.org/10.1186/s40942-019-0170-2 Text en © The Author(s) 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Review Liu, T. Y. Alvin Arevalo, J. Fernando Wide-field imaging in proliferative diabetic retinopathy |
title | Wide-field imaging in proliferative diabetic retinopathy |
title_full | Wide-field imaging in proliferative diabetic retinopathy |
title_fullStr | Wide-field imaging in proliferative diabetic retinopathy |
title_full_unstemmed | Wide-field imaging in proliferative diabetic retinopathy |
title_short | Wide-field imaging in proliferative diabetic retinopathy |
title_sort | wide-field imaging in proliferative diabetic retinopathy |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6907100/ https://www.ncbi.nlm.nih.gov/pubmed/31890283 http://dx.doi.org/10.1186/s40942-019-0170-2 |
work_keys_str_mv | AT liutyalvin widefieldimaginginproliferativediabeticretinopathy AT arevalojfernando widefieldimaginginproliferativediabeticretinopathy |