Serous macular detachment in diabetic cystoid macular oedema.
OBJECTIVE
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, fluorescein angiography and optical coherence tomography (OCT). Eyes with epiretinal membrane or vitreo-macular traction were not included in the study. Optical coherence tomography-3 was used in all patients and fundi were scanned on the horizontal, 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 hyporeflective intraretinal cavities. With OCT, 24 of 78 eyes (31%) had serous macular detachment as shown by retinal elevation over a non-reflective cavity with minimal shadowing of the underlying tissues. Fluorescein angiography did not show 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-sectional observation of very subtle serous macular detachment that is difficult to diagnose at the slit-lamp or by fluorescein angiography in patients with diabetic CME.
Ozdemir
Hakan
H
Istanbul Retina Institute Inc., Hakki Yeten Cad. No: 8/7, Fulya, Istanbul, Turkey. retina@pobox.com
Karacorlu
Murat
M
Karacorlu
Serra
S
D000328:Adult; D000368:Aged; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D003930:Diabetic Retinopathy / Q000150:complications* / Q000175:diagnosis; D005122:Exudates and Transudates; D005260:Female; D005451:Fluorescein Angiography; D006801:Humans; D015994:Incidence; D008269:Macular Edema / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011446:Prospective Studies; D012163:Retinal Detachment / Q000175:diagnosis / Q000209:etiology*; D041623:Tomography, Optical Coherence