Clinical Characteristics of Patients with Newly Diagnosed Diabetic Macular Edema in Turkey: A Real-Life Registry Study-TURK-DEM.
Purpose.To evaluate the clinical and diagnostic characteristics of patients with newly diagnosed diabetic macular edema (DME) in Turkey in a real-life setting.Methods.A total of 945 consecutive patients (mean (SD) age: 61.3 (9.9) years, 55.2% male) with newly diagnosed DME were included. Data on patient demographics, comorbidities, ocular history, ophthalmic examination findings including type of DME, central macular thickness (CMT) via time domain (TD) and spectral domain (SD) optical coherence tomography (OCT), and planned treatments were recorded.Results.OCT (98.8%) and fundoscopy (92.9%) were the two most common diagnostic methods. Diffuse and focal DMEs were detected in 39.2% and 36.9% of cases, respectively. Laser photocoagulation (32.1%) and antivascular endothelial growth factors (anti-VEGF; 31.8%) were the most commonly planned treatments. The median CMT in the right eye was significantly greater in untreated than in treated patients [376.5μm (range: 160-840) versus 342μm (range: 146-999) (p= 0.002)] and in the left eye [370μm (range: 201-780) versus 329μm (range: 148-999) (p< 0.001)].Conclusions.This study is the first large-scale real-life registry of DME patients in Turkey. SD-OCT and fundoscopy were the most common diagnostic methods. Laser photocoagulation and anti-VEGF therapy were the most common treatments.
Department of Ophthalmology, Hacettepe University Faculty of Medicine, Ankara, Turkey.
Bora
0000-0001-6813-0862
B
Eldem
Department of Ophthalmology, Gazi University Faculty of Medicine, Ankara, Turkey.
Sengul
S
Ozdek
Department of Ophthalmology, Dokuz Eylul University Faculty of Medicine, Izmir, Turkey.
Ali Osman
0000-0001-6848-7239
AO
Saatci
Department of Ophthalmology, Ankara University Faculty of Medicine, Ankara, Turkey.
Emin
E
Ozmert
Bayer Türk, Istanbul, Turkey.
Esat
E
Ulay
Bayer Türk, Istanbul, Turkey.
Gulsah
G
Nomak