NOVEL THREE TYPES OF NEOVASCULARIZATION ELSEWHERE DETERMINE THE DIFFERENTIAL CLINICAL FEATURES OF PROLIFERATIVE DIABETIC RETINOPATHY

糖尿病性视网膜病变 新生血管 医学 眼科 视网膜病变 荧光血管造影 光学相干层析成像 视网膜 糖尿病 血管生成 内科学 内分泌学
作者
Jiandong Pan,Feng Chen,Chen Ding,Xiaoling Yang,Jie Wang,Z. Z. Chen,Xiaojie He,Tingye Zhou,Jingwei Zheng,Hao Chen
出处
期刊:Retina-the Journal of Retinal and Vitreous Diseases [Ovid Technologies (Wolters Kluwer)]
卷期号:41 (6): 1265-1274 被引量:3
标识
DOI:10.1097/iae.0000000000003005
摘要

To explore the pathological features and clinical significance of three types of neovascularization elsewhere (NVE) in proliferative diabetic retinopathy.Neovascularization elsewhere was classified based on the origins and morphologic features using fluorescein angiography and angiographic and structural optical coherence tomography. The topographical distribution, vitreoretinal interface, and responsiveness to panretinal photocoagulation were compared among three types of NVE.One hundred and twenty-seven NVEs were classified into three types. Type 1 NVE was concentrated along or adjacent to vascular arcades; Type 2 was distributed more peripherally than were Types 1 and 3 NVE. The arch bridge-like vitreoretinal interface accounted for 79% of Type 1 NVE. The flat and flat-forward vitreoretinal interface accounted for 95% and 100% in Type 2 and Type 3 NVE, respectively. At 3 months after panretinal photocoagulation, the regression rates for Types 1, 2, and 3 NVE were 82%, 100%, and 80%, respectively. Type 2 NVE showed best regression rate after panretinal photocoagulation (both P < 0.01).Three types of NVE determine the distinctly topographical distributions, vitreoretinal interface features, and differential responsiveness to panretinal photocoagulation treatment. This new concept may have important clinical implications in assessing the treatment and prognosis of proliferative diabetic retinopathy.
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