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Spectral Domain Optical Coherence Tomography in Macular Diseases pp 117–127Cite as

Diabetic Macular Edema

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Abstract

The most common cause of visual disability associated with diabetes is diabetic maculopathy. New insights into the pathoanatomy of clinically significant diabetic macular edema (CSDME) have recently been revealed via optical coherence tomography (OCT). OCT reveals that there exist several different patterns of diabetic macular edema. This may implications for visual outcomes and responses to treatment, particularly anti-angiogenic drugs and intravitreal corticosteroids. Additionally, OCT is much more sensitive than clinical examination for identifying vitreomacular interface abnormalities and can be helpful for identifying good candidates for surgery. OCT is the only imaging modality capable of accurate measurement of the macular thickness, which is a sensitive parameter for identifying diabetic macular edema and has a strong correlation with visual acuity in specific patterns of macular edema. OCT, in conjunction with fluorescein angiography (FA) and clinical examination is an indispensable tool for the treatment and evaluation of diabetic macular edema.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Saint Louis University, Saint Louis, MO, USA

    Zachary M. Bodnar MD & Levent Akduman MD

  2. Department of Ophthalmology, Henry Ford Hospital, Detroit, MI, USA

    Ankit Desai MD

Authors
  1. Zachary M. Bodnar MD
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  2. Ankit Desai MD
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  3. Levent Akduman MD
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Corresponding author

Correspondence to Levent Akduman MD .

Editor information

Editors and Affiliations

  1. Pallas Clinic, Aarau, Switzerland

    Carsten H. Meyer

  2. Department of Ophthalmology, King George's Medical University, Lucknow, India

    Sandeep Saxena

  3. Doheny Eye Institute, Los Angeles, USA

    SriniVas R Sadda

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Bodnar, Z.M., Desai, A., Akduman, L. (2017). Diabetic Macular Edema. In: Meyer, C., Saxena, S., Sadda, S. (eds) Spectral Domain Optical Coherence Tomography in Macular Diseases. Springer, New Delhi. https://doi.org/10.1007/978-81-322-3610-8_8

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  • DOI: https://doi.org/10.1007/978-81-322-3610-8_8

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  • Publisher Name: Springer, New Delhi

  • Print ISBN: 978-81-322-3608-5

  • Online ISBN: 978-81-322-3610-8

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