APORTUL TOMOGRAFIEI ÎN COERENŢĂ OPTICĂ ÎN DIAGNOSTICUL ŞI TRATAMENTUL RETINOPATIEI DIABETICE.

Purpose of the paper: is to present the major contribution optical coherence tomography has now in the evaluation of patients with diabetic retinopathy and thus, the contribution of this method to establish the optimal therapeutic management in these patients. Methods: We have studied 63 patients with diabetic retinopathy at different stages of development, in whom OCT was performed. The patients who received laser treatment, intravitreal injection were re-examined one month later and depending on the OCT appearance, we decided upon the treatment to follow, which was individualized for each patient. Results and Discussion: Tomography elements encountered in the patients with diabetic retinopathy taken in the study were: macular edema / cystoid macular edema, hard exudates, serous detachment of the neuroephitelium, preretinal membrane, vitreo-macular traction, lamellar hole. In macular edema, we observed increased retinal thickness with or without deletion of foveal depression and hiporeflectivity of the optical signal from the external retinal layers. Clinically, early diagnosis of diabetic macular edema with optical coherence tomography would lead to early laser intervention, resulting in a stagnation of progression and even an improvement in visual acuity in some patients with diabetic retinopathy. Conclusions: OCT allows diagnosing and identifying the morphological characteristics of macular edema. OCT is useful in monitoring the response after therapy: quantification of retinal thickness, achieving the foveal central volume and retinal maps, helping monitoring the effects of therapy (laser, intravitreal injections with triamcinolone acetonide and / or anti-VEGF factor). OCT is the ideal method for tracking diabetic macular edema. [ABSTRACT FROM AUTHOR]