title: Effects of sub-Tenon's capsule triamcinolone acetonide injection combined with microaneurysm photocoagulation on diabetic macular edema.
abstract: OBJECTIVE
  To compare the effects of sub-Tenon's capsule triamcinolone acetonide (STTA) injection to that of STTA injection combined with microaneurysm photocoagulation (MAPC; STTA + MAPC) on eyes with diabetic macular edema (DME).
  
  
  METHODS
  The medical records of 138 eyes of 138 patients with DME treated by either STTA or STTA + MAPC were reviewed. The degree of DME was determined by the optical coherence tomographic features: patients with serous retinal detachment (SRD+; 38 eyes) and patients without SRD (non-SRD; 100 eyes). The central macular thickness (CMT) and the best-corrected visual acuity (BCVA) were measured periodically for 6 months after the treatments.
  
  
  RESULTS
  The BCVA was significantly improved in the non-SRD group after STTA + MAPC. The CMT was significantly improved in all groups and improved considerably more in the non-SRD group than in the SRD+ group after STTA + MAPC.
  
  
  CONCLUSIONS
  Our findings indicate that MAPC has an additive effect in the non-SRD type.
authors.affiliation: Department of Ophthalmology and Visual Science, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba, Japan.
authors.forename: Toshiyuki
authors.initials: T
authors.lastname: Oshitari
authors.affiliation: Department of Ophthalmology and Visual Science, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba, Japan.
authors.forename: Sakiko
authors.initials: S
authors.lastname: Nonomura
authors.affiliation: Department of Ophthalmology and Visual Science, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba, Japan.
authors.forename: Miyuki
authors.initials: M
authors.lastname: Arai
authors.affiliation: Department of Ophthalmology and Visual Science, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Takatsuna
authors.affiliation: Department of Ophthalmology and Visual Science, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba, Japan.
authors.forename: Eiju
authors.initials: E
authors.lastname: Sato
authors.affiliation: Department of Ophthalmology and Visual Science, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba, Japan.
authors.forename: Takayuki
authors.initials: T
authors.lastname: Baba
authors.affiliation: Department of Ophthalmology and Visual Science, Graduate School of Medicine, Chiba University, Chuo-ku, Chiba, Japan.
authors.forename: Shuichi
authors.initials: S
authors.lastname: Yamamoto
keywords: best-corrected visual acuity; central macular thickness; diabetic macular edema; microaneurysm photocoagulation; sub-Tenon’s triamcinolone acetonide injection