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dc.creatorKotoula, M. G.en
dc.creatorKoukoulis, G. N.en
dc.creatorZintzaras, E.en
dc.creatorKarabatsas, C. H.en
dc.creatorChatzoulis, D. Z.en
dc.date.accessioned2015-11-23T10:35:53Z
dc.date.available2015-11-23T10:35:53Z
dc.date.issued2005
dc.identifier10.2337/diacare.28.10.2454
dc.identifier.issn0149-5992
dc.identifier.urihttp://hdl.handle.net/11615/29716
dc.description.abstractOBJECTIVE - To study the influence of glycemic control and the presence of microalbuminutia on the initial response to partretinal photocoagulation (PRP) in patients with a high-risk proliferative diabetic retinopathy (PDR). RESEARCH DESIGN AND METHODS - This was a prospective cohort study with a two-by-two factorial design. We used full-scattered PRP to treat 115 eyes of type 2 diabetic patients who have high-risk PDR. HbA(1c) (AlC) and albumin levels in 24-h urine were constantly monitored during the preenrollment, treatment, and posttreatment periods. At a follow-up visit 12 weeks after the last PRP session, the fundus was examined for characteristics of regression from high-risk PDR and the response to PRP was determined to be successful or unsuccessful. The eyes were categorized into four groups based on average AlC levels and the presence or absence of microalbuminuria. The data were analyzed using a logistic regression model. Our statistical analysis determined the probability of achieving a satisfactory response to PRP in association with AIC levels and the presence or absence of microalbummuria. RESULTS - Of the 115 eyes examined, 65 (56.5%) had a successful initial response to PRP and 50 (43.5%) did not. The probability of a satisfactory response to PRP was related to AlC levels (P < 0.05) but not to microalburninuria and its interaction with hemoglobin glycosylation (P >= 0.05). CONCLUSIONS - Low levels of hemoglobin glyco,sylation (AIC <8%) during the pretreatment, treatment, and posttreatment periods are associated with a regression of proliferative diabetic retinopathy after PRP.en
dc.source.uri<Go to ISI>://WOS:000232358900019
dc.subjectENDOTHELIAL GROWTH-FACTORen
dc.subjectSEVERE VISUAL-LOSSen
dc.subjectRISK-FACTORSen
dc.subjectPROLIFERATIVE RETINOPATHYen
dc.subjectLASER PHOTOCOAGULATIONen
dc.subjectRATSen
dc.subjectCOMPLICATIONSen
dc.subjectDYSFUNCTIONen
dc.subjectPROGRESSIONen
dc.subjectGLYCATIONen
dc.subjectEndocrinology & Metabolismen
dc.titleMetabolic control of diabetes is associated with an improved response of diabetic retinopathy to panretinal photocoagulationen
dc.typejournalArticleen


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