Systematic review of various laser intervention strategies for proliferative diabetic retinopathy

Expert Rev Med Devices. 2015 Jan;12(1):83-91. doi: 10.1586/17434440.2014.953057. Epub 2014 Aug 26.

Abstract

Diabetic retinopathy (DR) is a common complication of diabetes. DR obstructs blood supply to the retina and has serious and long-lasting detrimental effects on quality of life. Panretinal photocoagulation, a laser surgical intervention, is advocated for early treatment of DR to prevent visual loss; however, results from studies reporting its efficacy vary markedly. In this review, we systematically conducted a database search of randomized controlled trials that investigated the safety and efficacy of different types of laser interventions, alone or in combination with adjunct intravitreal steroid utilization, in patients with DR. Data from 14 studies demonstrated that panretinal photocoagulation can be a safe and effective option for reducing visual loss and blindness in patients with DR.

Keywords: diabetes; diabetic retinopathy; panretinal photocoagulation; systematic review.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review
  • Systematic Review

MeSH terms

  • Databases, Factual
  • Diabetic Retinopathy / surgery*
  • Humans
  • Laser Coagulation / instrumentation*
  • Laser Coagulation / methods*
  • Randomized Controlled Trials as Topic