Guías de práctica clínica de la SERVManejo de las complicaciones oculares de la diabetes. Retinopatía diabética y edema macular

  1. Alicia Cristina Pareja Ríos
  2. Miguel Ángel Serrano García
  3. D. Marrero Saavedra
  4. Maximino Abraldes López-Veiga
  5. Miguel Ángel Reyes Rodríguez
  6. Francisco Cabrera López
  7. M. Isabel López Gálvez
  8. Pedro Ignacio Cardona Guerra
  9. Pedro Abreu Reyes
  10. E. Quijada Fumero
  11. A. Coronado Toural
  12. Estanislao Gutiérrez Sánchez
  13. María Antonia Gil Hernández
  14. P. Valls de Quintana
  15. Rafael Navarro Alemany
  16. F. Marín Olmos
Revista:
Archivos de la Sociedad Española de Oftalmologia

ISSN: 0365-6691

Año de publicación: 2009

Volumen: 84

Número: 9

Páginas: 429-450

Tipo: Artículo

DOI: 10.4321/S0365-66912009000900003 DIALNET GOOGLE SCHOLAR

Resumen

Objective: Diabetes mellitus is considered the most common cause of blindness in the working population of industrialized countries, with diabetic macular edema being the most common cause of decreased visual acuity and proliferative diabetic retinopathy (PDR) being responsible for the most severe visual deficits. We have therefore tried to establish a guide for clinical intervention whose purpose is to provide orientation on the treatment of diabetic retinopathy and its complications. This is necessary at a time when many treatment options have emerged whose role is not yet fully defined. Method: A group of expert retina specialists selected by the SERV (Vitreous-Retina Spanish Society) assessed the published results of different treatment options currently available, suggesting lines of action according to the degree of diabetic retinopathy present and the presence or absence of macular edema. Results: PDR is primarily treated with pan-retinal photocoagulation. For clinically significant diabetic macular edema without signs of vitreomacular traction, the treatment of choice continues to be focal/grid photocoagulation. Similarly, retinovitreal surgery is indicated for both conditions. The use of antiangiogenic drugs was also analyzed but remains inconclusive. Conclusion: Laser therapy is effective in the management of diabetic retinopathy and diabetic macular edema. The role of antiangiogenics is not yet sufficiently defined.

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