Serous macular detachment in diabetic cystoid macular oedema
Article first published online: 16 FEB 2005
Acta Ophthalmologica Scandinavica
Volume 83, Issue 1, pages 63–66, February 2005
How to Cite
Ozdemir, H., Karacorlu, M. and Karacorlu, S. (2005), Serous macular detachment in diabetic cystoid macular oedema. Acta Ophthalmologica Scandinavica, 83: 63–66. doi: 10.1111/j.1600-0420.2005.00387.x
- Issue published online: 16 FEB 2005
- Article first published online: 16 FEB 2005
- Received on January 22nd, 2004. Accepted on September 22nd, 2004.
- diabetic retinopathy;
- cystoid macular oedema;
- serous macular detachment;
- optical coherence tomography
Purpose: To define serous macular detachment in patients with diabetic cystoid macular oedema (CME).
Methods: This study involved 78 eyes of 58 patients with diabetic CME. The patients underwent complete ophthalmic examination, fluorescein angiography and optical coherence tomography (OCT). Eyes with epiretinal membrane or vitreo-macular traction were not included in the study. Optical coherence tomography-3 was used in all patients and fundi were scanned on the horizontal, vertical and four oblique planes through the centre of the fovea.
Results: In all cases the increased thickness of the retina was related primarily to the hyporeflective intraretinal cavities. With OCT, 24 of 78 eyes (31%) had serous macular detachment as shown by retinal elevation over a non-reflective cavity with minimal shadowing of the underlying tissues. Fluorescein angiography did not show serous macular detachment in any patient.
Conclusions: Our data showed that the incidence of serous macular detachment in diabetic CME was much higher than previously reported. Optical coherence tomography-3 allows an in vivo cross-sectional observation of very subtle serous macular detachment that is difficult to diagnose at the slit-lamp or by fluorescein angiography in patients with diabetic CME.