Our strategy to treat DR starts from appropriate evaluation and diagnosis.
In addition to routine examination including visual acuity examination, ophthalmoscopic evaluation or intraocular pressure measurements etc, FA or optical coherent tomography (OCT) are performed to assess retinal ischemic change or edema.
In case of retinal ischemia, laser photocoagulation is indicated.
Variable therapeutical tools are recently available for DME treatment. In addition to conventional direct/grid laser therapy, administrations of anti-VEGF drug (Ranibizumab) or steroid (Triamcinolone acetonide) are effective in many cases. Surgical treatment (vitrectomy) is another choice of the diabetic retinal complication. We try to perform the most proper therapy for each patient, using the most advanced imaging modalities and treatment options. In the near future, we have a plan to introduce sub-threshold photocoagulation to macular edema-one of the latest management of DME.
Booking is required.
１）Report from Ministry of Health, Labour and Welfare Japan, 2005