Subthreshold Diode Micropulse Laser (SDM) for Persistent Macular Thickening and Limited Visual Acuity After Epiretinal Membrane Peeling

Jeffrey K Luttrull Private Practice, Ventura County Retina Vitreous Medical Group, Ventura, CA 93003, USACorrespondence: Jeffrey K Luttrull 3160 Telegraph Road, Suite 230, Ventura, California 93003, USATel/Fax +1 805-650-0865Email jkluttrull@gmail.comPurpose: To examine the effect of low-intensity/h...

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Autor principal:	Luttrull JK
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	laser micropulse subthreshold epiretinal membrane macular thickening macular edema reset heat-shock proteins Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/e1788f69a876408fb5e32f61f9df4b8b
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spelling	oai:doaj.org-article:e1788f69a876408fb5e32f61f9df4b8b2021-12-02T09:18:32ZSubthreshold Diode Micropulse Laser (SDM) for Persistent Macular Thickening and Limited Visual Acuity After Epiretinal Membrane Peeling1177-5483https://doaj.org/article/e1788f69a876408fb5e32f61f9df4b8b2020-04-01T00:00:00Zhttps://www.dovepress.com/subthreshold-diode-micropulse-laser-sdm-for-persistent-macular-thicken-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Jeffrey K Luttrull Private Practice, Ventura County Retina Vitreous Medical Group, Ventura, CA 93003, USACorrespondence: Jeffrey K Luttrull 3160 Telegraph Road, Suite 230, Ventura, California 93003, USATel/Fax +1 805-650-0865Email jkluttrull@gmail.comPurpose: To examine the effect of low-intensity/high-density subthreshold diode micropulse laser (SDM) on visual acuity (VA) and macular thickness in eyes with limited visual recovery and persistent macular thickening after epiretinal membrane peeling.Methods: A retrospective review of medical records identified all patients undergoing SDM after membrane peeling in a clinical vitreoretinal subspecialty practice. Exclusion criteria included other obfuscating ocular disease or loss to follow-up after SDM treatment.Results: All 19 eyes of 18 patients identified were included for study. After membrane peeling, VA improved from an avg. Snellen 20/240 [logMAR 1.08] to 20/72 [0.56] (p=0.0004). Attributed to persistent macular thickening following membrane peeling, overall VAs then gradually declined to an avg. of 20/91 [0.66] by 4− 109 months (avg. 41) post vitrectomy, at which point panmacular SDM was performed. An avg. 15 months post SDM, both VA (to avg. 20/68 [0.53]) and maximum macular thickness improved (p=0.007 and p=0.008, respectively). There were no adverse treatment effects.Conclusion: Low-intensity/high-density subthreshold (sublethal) diode micropulse laser (SDM) may reduce macular thickening and improve visual in eyes with persistent macular thickening after membrane peeling even years after vitrectomy.Keywords: laser, micropulse, subthreshold, epiretinal membrane, macular thickening, macular edema, reset, heat-shock proteinsLuttrull JKDove Medical Pressarticlelasermicropulsesubthresholdepiretinal membranemacular thickeningmacular edemaresetheat-shock proteinsOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 14, Pp 1177-1188 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	laser micropulse subthreshold epiretinal membrane macular thickening macular edema reset heat-shock proteins Ophthalmology RE1-994
spellingShingle	laser micropulse subthreshold epiretinal membrane macular thickening macular edema reset heat-shock proteins Ophthalmology RE1-994 Luttrull JK Subthreshold Diode Micropulse Laser (SDM) for Persistent Macular Thickening and Limited Visual Acuity After Epiretinal Membrane Peeling
description	Jeffrey K Luttrull Private Practice, Ventura County Retina Vitreous Medical Group, Ventura, CA 93003, USACorrespondence: Jeffrey K Luttrull 3160 Telegraph Road, Suite 230, Ventura, California 93003, USATel/Fax +1 805-650-0865Email jkluttrull@gmail.comPurpose: To examine the effect of low-intensity/high-density subthreshold diode micropulse laser (SDM) on visual acuity (VA) and macular thickness in eyes with limited visual recovery and persistent macular thickening after epiretinal membrane peeling.Methods: A retrospective review of medical records identified all patients undergoing SDM after membrane peeling in a clinical vitreoretinal subspecialty practice. Exclusion criteria included other obfuscating ocular disease or loss to follow-up after SDM treatment.Results: All 19 eyes of 18 patients identified were included for study. After membrane peeling, VA improved from an avg. Snellen 20/240 [logMAR 1.08] to 20/72 [0.56] (p=0.0004). Attributed to persistent macular thickening following membrane peeling, overall VAs then gradually declined to an avg. of 20/91 [0.66] by 4− 109 months (avg. 41) post vitrectomy, at which point panmacular SDM was performed. An avg. 15 months post SDM, both VA (to avg. 20/68 [0.53]) and maximum macular thickness improved (p=0.007 and p=0.008, respectively). There were no adverse treatment effects.Conclusion: Low-intensity/high-density subthreshold (sublethal) diode micropulse laser (SDM) may reduce macular thickening and improve visual in eyes with persistent macular thickening after membrane peeling even years after vitrectomy.Keywords: laser, micropulse, subthreshold, epiretinal membrane, macular thickening, macular edema, reset, heat-shock proteins
format	article
author	Luttrull JK
author_facet	Luttrull JK
author_sort	Luttrull JK
title	Subthreshold Diode Micropulse Laser (SDM) for Persistent Macular Thickening and Limited Visual Acuity After Epiretinal Membrane Peeling
title_short	Subthreshold Diode Micropulse Laser (SDM) for Persistent Macular Thickening and Limited Visual Acuity After Epiretinal Membrane Peeling
title_full	Subthreshold Diode Micropulse Laser (SDM) for Persistent Macular Thickening and Limited Visual Acuity After Epiretinal Membrane Peeling
title_fullStr	Subthreshold Diode Micropulse Laser (SDM) for Persistent Macular Thickening and Limited Visual Acuity After Epiretinal Membrane Peeling
title_full_unstemmed	Subthreshold Diode Micropulse Laser (SDM) for Persistent Macular Thickening and Limited Visual Acuity After Epiretinal Membrane Peeling
title_sort	subthreshold diode micropulse laser (sdm) for persistent macular thickening and limited visual acuity after epiretinal membrane peeling
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/e1788f69a876408fb5e32f61f9df4b8b
work_keys_str_mv	AT luttrulljk subthresholddiodemicropulselasersdmforpersistentmacularthickeningandlimitedvisualacuityafterepiretinalmembranepeeling
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Subthreshold Diode Micropulse Laser (SDM) for Persistent Macular Thickening and Limited Visual Acuity After Epiretinal Membrane Peeling

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