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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, fluorescei n angiography and optical coherence tomography (OCT). Eyes with epiretinal membr ane or vitreo-macular traction were not included in the study. Optical coherenc e tomography-3 was used in all patients and fundi were scanned on the horizonta l, 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 hy poreflective intraretinal cavities. With OCT, 24 of 78 eyes (31%) had serous ma cular detachment as shown by retinal elevation over a non-reflective cavity wit h minimal shadowing of the underlying tissues. Fluorescein angiography did not s how 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-se ctional observation of very subtle serous macular detachment that is difficult t o diagnose at the slit-lamp or by fluorescein angiography in patients with diab etic CME.
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 complete ophthalmic examination, fluorescein angiography and optical coherence tomography (OCT). Eyes with epiretinal membr ane or vitreo-macular traction were not included in the study. Optical coherenc e tomography-3 was used in all patients and fundi were scanned on the horizonta l, vertical and four oblique planes through the center of the fovea. Results With OCT, 24 of 78 eyes (31%) had serous ma cular detachment as shown by retinal elevation over a non-reflective cavity wit h minimal shadowing of the underlying tissues. Fluorescein angiography did not s how serous macular detachment in any patient. Conclusions: Our data showed that the incidence of serous macular detach ment in diabetic CME was much higher than previously reported. Optical coherence tomography-3 allows an in vivo cross-se ctional observation of very subtle serous macular detachment that is difficult to diagnose at the slit-lamp or by fluorescein angiography in patients with diab etic CME.