ARTICLE

AN EVALUATION OF PAN AND TARGETED RETINAL PHOTOCOAGULATION FOR PROLIFERATIVE DIABETIC RETINOPATHY

02 Pages : 10-15

http://dx.doi.org/10.31703/gpsr.2023(VIII-I).02      10.31703/gpsr.2023(VIII-I).02      Published : Mar 2023

An Evaluation of Pan and Targeted Retinal Photocoagulation for Proliferative Diabetic Retinopathy

    This study evaluates the efficacy of pan retinal and targeted retinal photocoagulation (PRP and TRP) for the treatment of proliferative diabetic retinopathy (PDR). A retrospective review of medical records was conducted of patients with PDR who had undergone PRP or TRP as primary treatment at a tertiary care center. Outcome measures included visual acuity, intraocular pressure, and retinal appearance. Results showed that PRP and TRP were both effective in reducing intraocular pressure and improving visual acuity, with no significant difference between the two. However, PRP was associated with a higher rate of retinal detachment and greater risk of recurrence of PDR. Based on the results, PRP and TRP are both effective treatments for PDR, but PRP may be associated with increased risk of complications.

    Pan Retinal Photocoagulation, Targeted Retinal Photocoagulation, Intraocular Pressure, Retinal Detachment
    (1) Muhammad Junaid Sethi
    Assistant Professor, Department of Ophthalmology, Medical Teaching Institution, Lady Reading Hospital, Peshawar, KP, Pakistan.
    (2) Umer Khan
    Associate Professor, Department of Ophthalmology, Medical Teaching Institution, Hayatabad Medical Complex, Peshawar, KP, Pakistan.
    (3) Natasha Junaid
    Department of Community Medicine, Khyber Medical College, Peshawar, Pakistan.
    (4) Nazli Gul
    Assistant Professor, Department Of Ophthalmology, Khyber Teaching Hospital/Khyber Medical College, Peshawar, KP, Pakistan.
    (5) Ishan Ullah
    Consultant Ophthalmologist, District Headquarter, Hospital, Timergara, KP, Pakistan.
    (6) Muhammad Israr
    Consultant Ophthalmologist, District Headquarter, Hospital, Timergara, KP, Pakistan.
  • Ahmad, I., Khan, J., Tahir, M., & Rehman, M. (2023). Comparison of targeted retinal photocoagulation versus pan-retinal photocoagulation in the treatment of proliferative diabetic retinopathy. International journal of health sciences, 7, 111-117. https://doi.org/10.53730/ijhs.v7nS1.14161
  • Aiello, L. M., Berrocal, J., Davis, M. D., Ederer, F., Goldberg, M. F., Harris, J. E., Klimt, C. R., Knatterud, G. L., Margherio, R. R., & McLean, E. N. (1973). The diabetic retinopathy study. Archives of Ophthalmology, 90(5), 347-348.
  • Alasil, T., & Waheed, N. K. (2014). Pan retinal photocoagulation for proliferative diabetic retinopathy: pattern scan laser versus argon laser. Current Opinion in Ophthalmology, 25(3), 164-170. https://doi.org/10.1097/ICU.0000000000000048
  • Animaw, W., & Seyoum, Y. (2017). Increasing prevalence of diabetes mellitus in a developing country and its related factors. PloS One, 12(11), e0187670. https://doi.org/.10.1371/journal.pone.0187670
  • Edema, P. f. D. M. (1985). Early treatment diabetic retinopathy study report number 1. Early treatment diabetic retinopathy study research group. Archives of Ophthalmology, 103(12), 1796-1806. https://doi.org/10.1016/s0161-6420(13)38009-9
  • Federation, I. D. (2017). IDF diabetes atlas 8th edition. International diabetes federation, 905- 911.
  • Ghani, S. I., & Zunaina, E. (2021). Effect of 532 nm argon laser pan retinal photocoagulation on corneal thickness and corneal endothelial cell parameters among proliferative diabetic retinopathy patients. J Diabetes Metab Disord, 20(1), 561-569. https://doi.org/10.1007/s40200-021-00780- 9
  • Gihan, M. H., Martina, T. F., Ashraf, A. N., & Abdusallam, M. A. (2022). Comparative Study between Targeted Retinal Photo coagulation with and Without Single Intravitreal Bevacizumab Injection Versus Conventional Panretinal Photocoagulation for Proliferative Diabetic Retinopathy Treatment. The Medical Journal of Cairo University, 90(12), 2193-2202. https://doi.org/10.21608/MJCU.2022.287351
  • Group, E. T. D. R. S. R. (1987a). Photocoagulation for diabetic macular edema: Early Treatment Diabetic Retinopathy Study report no. 4. International Ophthalmology Clinics, 27(4), 265-272. https://doi.org/10.1016/S0161-6420(13)38011-7
  • Group, E. T. D. R. S. R. (1987b). Techniques for scatter and local photocoagulation treatment of diabetic retinopathy: Early Treatment Diabetic Retinopathy Study Report no. 3. International Ophthalmology Clinics, 27(4), 254-264. https://doi.org/198702740-00005
  • Group, E. T. D. R. S. R. (1991). Early photocoagulation for diabetic retinopathy: ETDRS report number 9. Ophthalmology, 98(5), 766-785. https://doi.org/10.1016/S0161-6420(13)38011-7
  • Kim, J., Woo, S. J., Ahn, J., Park, K. H., Chung, H., & Park, K. H. (2012). Long-term temporal changes of peripapillary retinal nerve fiber layer thickness before and after panretinal photocoagulation in severe diabetic retinopathy. Retina, 32(10), 2052-2060. https://doi.org/10.1097/IAE.0b013e3182562000
  • Muqit, M. M., Marcellino, G. R., Henson, D. B., Young, L. B., Patton, N., Charles, S. J., Turner, G. S., & Stanga, P. E. (2010). Single-session vs multiple-session pattern scanning laser panretinal photocoagulation in proliferative diabetic retinopathy: The Manchester Pascal Study. Archives of Ophthalmology, 128(5), 525-533. https://doi.org/10.1001/archophthalmol.2010.60
  • Nicholson, L., Ramu, J., Chan, E. W., Bainbridge, J. W., Hykin, P. G., Talks, S. J., & Sivaprasad, S. (2019). Retinal nonperfusion characteristics on ultra-widefield angiography in eyes with severe nonproliferative diabetic retinopathy and proliferative diabetic retinopathy. JAMA ophthalmology, 137(6), 626-631. https://doi.org/10.1001/jamaophthalmol.2019.0440
  • Nikkhah, H., Ghazi, H., Razzaghi, M. R., Karimi, S., Ramezani, A., & Soheilian, M. (2018). Extended targeted retinal photocoagulation versus conventional pan-retinal photocoagulation for proliferative diabetic retinopathy in a randomized clinical trial. International Ophthalmology, 38, 313-321. https://doi.org/10.1007/s10792-017-0469-7
  • Organization, W. H. (2011). World Health Organization diabetes fact sheet. WHO:Geneva, Switzerland.
  • Reddy, S. V., & Husain, D. (2018). Panretinal photocoagulation: a review of complications. Seminars in Ophthalmology,
  • Royle, P., Mistry, H., Auguste, P., Shyangdan, D., Freeman, K., Lois, N., & Waugh, N. (2015). Pan- retinal photocoagulation and other forms of laser treatment and drug therapies for non- proliferative diabetic retinopathy: systematic review and economic evaluation. Health Technology Assessment (Winchester, England), 19(51), v-xxviii, 1. https://doi.org/10.3310/hta19510
  • Shaikh, M., Shah, S., Sheikh, A., Shaikh, K., & Shaikh, A. (2015). . Ophthalmology Update, 13(1), 19-21.
  • Shimizu, K., Kobayashi, Y., & Muraoka, K. (1981). Midperipheral fundus involvement in diabetic retinopathy. Ophthalmology, 88(7), 601-612. https://doi.org/10.12669/pjms.325.10597
  • Wykoff, C. C., Yu, H. J., Avery, R. L., Ehlers, J. P., Tadayoni, R., & Sadda, S. R. (2022). Retinal non-perfusion in diabetic retinopathy. Eye, 36(2), 249-256. https://doi.org/10.1038/s41433-021-01649-0

Cite this article

    APA : Sethi, M. J., Khan, U., & Junaid, N. (2023). An Evaluation of Pan and Targeted Retinal Photocoagulation for Proliferative Diabetic Retinopathy. Global Pharmaceutical Sciences Review, VIII(I), 10-15. https://doi.org/10.31703/gpsr.2023(VIII-I).02
    CHICAGO : Sethi, Muhammad Junaid, Umer Khan, and Natasha Junaid. 2023. "An Evaluation of Pan and Targeted Retinal Photocoagulation for Proliferative Diabetic Retinopathy." Global Pharmaceutical Sciences Review, VIII (I): 10-15 doi: 10.31703/gpsr.2023(VIII-I).02
    HARVARD : SETHI, M. J., KHAN, U. & JUNAID, N. 2023. An Evaluation of Pan and Targeted Retinal Photocoagulation for Proliferative Diabetic Retinopathy. Global Pharmaceutical Sciences Review, VIII, 10-15.
    MHRA : Sethi, Muhammad Junaid, Umer Khan, and Natasha Junaid. 2023. "An Evaluation of Pan and Targeted Retinal Photocoagulation for Proliferative Diabetic Retinopathy." Global Pharmaceutical Sciences Review, VIII: 10-15
    MLA : Sethi, Muhammad Junaid, Umer Khan, and Natasha Junaid. "An Evaluation of Pan and Targeted Retinal Photocoagulation for Proliferative Diabetic Retinopathy." Global Pharmaceutical Sciences Review, VIII.I (2023): 10-15 Print.
    OXFORD : Sethi, Muhammad Junaid, Khan, Umer, and Junaid, Natasha (2023), "An Evaluation of Pan and Targeted Retinal Photocoagulation for Proliferative Diabetic Retinopathy", Global Pharmaceutical Sciences Review, VIII (I), 10-15
    TURABIAN : Sethi, Muhammad Junaid, Umer Khan, and Natasha Junaid. "An Evaluation of Pan and Targeted Retinal Photocoagulation for Proliferative Diabetic Retinopathy." Global Pharmaceutical Sciences Review VIII, no. I (2023): 10-15. https://doi.org/10.31703/gpsr.2023(VIII-I).02