The current study was planned to evaluate the effects of sub-threshold frequency doubled neodymium yttrium aluminium garnet modified macular
grid laser treatment on diffuse diabetic macular oedema in context with reduction of oedema and improvement of VA.
The subjects in Group I were treated with
grid laser photocoagulation using the IRIDIS laser machine.
Olk, "Modified
grid laser photocoagulation for diffuse diabetic macular edema: long-term visual results,' Ophthalmology, vol.
(16) investigated monotherapy versus combination therapy with macular
grid laser in 50 patients with BRVO.
Importance of 3-D image reconstruction of spectral-domain OCT on outcome of
grid laser photocoagulation for diffuse diabetic macular edema.
KEY WORDS: Diabetic retinopathy, Clinically significant macular edema,
Grid laser, Focal laser.
BRVO with macular edema and NVE/NVE:
Grid laser photocoagulation + sectoral panretinal photocoagulation is given.
Until the introduction of anti-VEGF medications, focal and
grid laser photocoagulation was the standard treatment for CSME.
The
grid laser destroys photoreceptors in the retina thereby decreasing the oxygen demand, while the focal laser targets specific leaking microaneurysms responsible for the macular edema.
The Early Treatment Diabetic Retinopathy Study (ETDRS) reveals that focal laser photocoagulation plays a beneficial role and reduces the rate of moderate visual loss by 50%.5 Patients having media opacity like cataract at times make it impossible for the doctor to do complete macular
grid laser so there is a need for an alternative or adjunctive treatment.
Procedure of grid photocoagulation: Laser photocoagulation was conducted in a grid pattern under topical anesthesia as described by the Early Treatment Diabetic Retinopathy Study (ETDRS),
Grid laser was performed with Iridex Oculight GL, frequency doubled diode pumped laser with wavelength 532 nm.
Grid laser was performed in areas of macular thickening with diffuse leakage or capillary loss.