Diabetic Macular Edema

Published on 10/05/2015 by admin

Filed under Opthalmology

Last modified 10/05/2015

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13.2

Diabetic Macular Edema

Clinical Features:

The classic clinical descriptions of DME includes focal, diffuse and cystoid (CME), based on the clinical and angiographic appearance (Fig. 13.2.1). Focal macular edema is characterized by focal leaking microaneurysms giving a well-circumscribed area of thickening often associated with hard exudates. Diffuse macular edema is characterized by more widespread vascular abnormalities giving larger areas of thickening, a paucity of hard exudates and cystic changes in the retina. CME associated with DME appears similar to CME from other causes. It is not unusual for affected eyes to manifest two or all three of these sub-types.

OCT Features (Figs 13.2.2 and 13.2.3):

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