THE ROLE OF FLUORESCEIN ANGIOGRAPHY IN DIAGNOSIS AND TREATMENT OF DIABETIC RETINOPATHY
Abstract:
Purpose of the paper: Assessment of retinal fluorescein angiography role in the patients with diabetic retinopathy and implicitly, the role of this method in establishing the diagnosis and the optimal therapy for these patients. Methods: Prospective interventional non-comparative study. We performed fluorescein angiography in a group of patients with diabetic retinopathy in different stages of development. In all the studied patients, eye examinations were performed prior to fluorescein angiography examination, that included determination of visual acuity, biomicroscopy of the anterior and posterior pole and retinal photography. Results and discussions: Fluorescein angiography showed with certainty the stage of the diabetic retinopathy and macular leakage in the cases associating diabetic maculopathy. Retinal and/or papillary neovessels have been showed in the patients in whom fundus examination through biomicroscopy and retinal photography did not reveal these changes (fundus visibility was reduced by the presence of changes in the transparency of the lens and vitreous). In addition, this technique had a major contribution in establishing the type of maculopathy and its severity; so in many patients with a relatively good visual acuity (VA) and discrete clinical changes, infraclinical, extremely important lesions were highlighted. Conclusions: Fluorescein angiography is an essential examination for the proper monitoring of the diabetic patients, this investigation being particularly useful in the diagnosis and classification of diabetic macular edema, with the different therapeutic approach depending on the type of macular edema.
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