The Frequency of Serous Macular Detachment in Diabetic Macular Edema

Abstract

Objective: To investigate the frequency of serous macular detachment (SMD) in patients with diabetic macular edema (DME).. Materials and Methods: In our clinic, 258 eyes of 184 patients with DME were searched retrospectively according to the results of optical coherence tomography (OCT) that were taken between January 2008 and June 2009. According to the results of OCT, the patients diagnosed with DME (Group 1), and the ones having SMD and DME (Group 2) were compared regarding gender, the affected eye and age average. Results: The ages of the patients were between 18 and 83, while the age averages were 56,64 years. 108 (%58,70) of the patients were female and 76(%41,30) of them were male. DME was found at both eyes of 74 (%40,22) patients. SMD with DME was identified in 56 eyes of 37 (%20,10) patients of 184 all under search. Two-sided SMD was occured in 18 (%9,78) of the patients. The number of cases having SMD at least in one eye was 37(%20,10). The age averages of the patients identified with SMD were 52,64(age range: 25-83). Among these 37 patients 17 (%45,95) of them were female and 20 (%54,05) were male. Conclusion: However SMD isn't rarely seen among patients with DMO, examining OCT at diagnosis is quite important. Since only OCT can certainly show SMD which is a predictor about the success of medical treatment applications, the real frequency rates will probably increase more by the use of OCT.

Keywords

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Diyabetik Makuler Ödemde Seröz Makula Dekolmanı Sıklığı

Öz

Amaç: Diyabetik makuler ödem (DMÖ) ile takip edilen hastalarda seröz makula dekolmanı (SMD) sıklığını araştırmak. Gereç ve Yöntemler: Kliniğimiz retina biriminde takip edilen 184 DMÖ'li hastanın 258 gözü Ocak 2008-Haziran 2009 tarihleri arasında çekilen optik koherens tomografi (OKT) sonuçlarına göre geriye dönük olarak incelendi. Optik koherens tomografi incelemesine göre DMÖ tanısı alan hastalar (1.grup) ile OKT'ye göre SMD ve DMÖ'i bulunan hastalar (2.grup) cinsiyet, etkilenen göz ve yaş ortalaması açısından karşılaştırıldı. Bulgular: Hastaların yaşları 18-83 arasında değişmekte olup yaş ortalamaları 56,64 yıl idi. Hastaların 108'i (%58,70) kadın 76'sı (%41,30) erkekti. 74 (%40,22) hastada DMÖ her iki gözde saptandı. Çalışmaya alınan 184 hastadan 37‘sinin (%20,10) 56 gözünde DMÖ ile birlikte SMD tespit edildi. 18 (%9,78) hastada iki taraflı SMD'na rastlandı. En azından bir gözünde SMD olan olgu sayısı 37 (%20,10) olarak saptandı. SMD saptanan hastaların yaş ortalamaları 52,64 (yaş aralığı: 25-83 yıl) olup bu 37 hastanın 17'si (%45,95) kadın, 20'si (%54,05) erkekti. Sonuç: Diyabetik makuler ödemli hastalarda SMD nadir görülmemekle birlikte tanıda OKT incelemesi oldukça önemlidir. Tedavi uygulamalarının başarısı hakkında bir prediktör olan SMD'nı kesin olarak sadece OKT açığa çıkarabileceğinden, gerçek sıklık oranları OKT'nin kullanımıyla muhtemelen daha da artacaktır.

Anahtar Kelimeler

• Diyabet, makuler ödem, seröz, makula dekolmanı, optik koherens tomografi

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