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Macular Grid Laser Coagulation in Case of Diffuse Diabetic Macular Edema

Heyer C., Degenring R. F., Hugger P., Sauder G.,
Ruprecht-Karls-Universität Heidelberg, Fakultät für klinische Medizin Mannheim, Augenklinik (Mannheim)

Purpose: To evaluate the clinical outcome of macular grid laser coagulation as treatment of diffuse diabetic macular edema. 
Method: The study included 30 consecutive patients (41 eyes) who were treated by macular argon green grid laser coagulation for diffuse diabetic macular edema. Follow-up time was 31.4 ± 19.6 weeks (range, 4 - 77 weeks).
Results: Visual acuity decreased significantly (p=0.045) from 0.25 ± 0.18 (range, 0.03 - 0.8) preoperatively to 0.20 ± 0.18 (range, 0.02 - 0.8) at the end of the follow-up period. Three (7,3%) eyes gained in visual acuity, visual acuity remained unchanged for 26 (63,4%) eyes, and 12 (29,3%) eyes showed a visual loss.
Conclusions: Grid laser coagulation for diffuse diabetic macular edema is not associated with an increase in visual acuity.

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