PMID- 29376234 OWN - NLM STAT- MEDLINE DCOM- 20180320 LR - 20240124 IS - 2162-0989 (Electronic) IS - 2162-0989 (Linking) VI - 7 IP - 1 DP - 2018 Jan-Feb TI - Multimodal Imaging in Diabetic Macular Edema. PG - 22-27 LID - 10.22608/APO.2017504 [doi] AB - Throughout ophthalmic history it has been shown that progress has gone hand in hand with technological breakthroughs. In the past, fluorescein angiography and fundus photographs were the most commonly used imaging modalities in the management of diabetic macular edema (DME). Today, despite the moderate correlation between macular thickness and functional outcomes, spectral domain optical coherence tomography (SD-OCT) has become the DME workhorse in clinical practice. Several SD-OCT biomarkers have been looked at including presence of epiretinal membrane, vitreomacular adhesion, disorganization of the inner retinal layers, central macular thickness, integrity of the ellipsoid layer, and subretinal fluid, among others. Emerging imaging modalities include fundus autofluorescence, macular pigment optical density, fluorescence lifetime imaging ophthalmoscopy, OCT angiography, and adaptive optics. Technological advances in imaging of the posterior segment of the eye have enabled ophthalmologists to develop hypotheses about pathological mechanisms of disease, monitor disease progression, and assess response to treatment. Spectral domain OCT is the most commonly performed imaging modality in the management of DME. However, reliable biomarkers have yet to be identified. Machine learning may provide treatment algorithms based on multimodal imaging. CI - Copyright 2018 Asia-Pacific Academy of Ophthalmology. FAU - Acon, Dhariana AU - Acon D AD - Asociacion para Evitar la Ceguera, Hospital Luis Sanchez Bulnes. Mexico City, Mexico. FAU - Wu, Lihteh AU - Wu L AD - Asociados de Macula, Vitreo y Retina de Costa Rica, San Jose, Costa Rica. LA - eng PT - Journal Article PT - Review DEP - 20170129 PL - United States TA - Asia Pac J Ophthalmol (Phila) JT - Asia-Pacific journal of ophthalmology (Philadelphia, Pa.) JID - 101583622 SB - IM MH - Diabetic Retinopathy/*diagnostic imaging MH - *Diagnostic Techniques, Ophthalmological MH - Fluorescein Angiography/methods MH - Humans MH - Macular Edema/*diagnostic imaging MH - Multimodal Imaging/*methods MH - Ophthalmoscopy/methods MH - Optical Imaging/*methods MH - Optics and Photonics/methods MH - Tomography, Optical Coherence/methods OTO - NOTNLM OT - OCT OT - OCT angiography OT - adaptive optics OT - confocal scanning laser ophthalmoscope OT - diabetic macular edema OT - diabetic retinopathy OT - fluorescein angiography OT - fluorescence lifetime imaging ophthalmoscopy OT - fundus autofluorescence OT - fundus imaging OT - macular pigment optical density OT - ultra-widefield fluorescein angiography EDAT- 2018/01/30 06:00 MHDA- 2018/03/21 06:00 CRDT- 2018/01/30 06:00 PHST- 2018/01/30 06:00 [pubmed] PHST- 2018/03/21 06:00 [medline] PHST- 2018/01/30 06:00 [entrez] AID - S2162-0989(23)00436-X [pii] AID - 10.22608/APO.2017504 [doi] PST - ppublish SO - Asia Pac J Ophthalmol (Phila). 2018 Jan-Feb;7(1):22-27. doi: 10.22608/APO.2017504. Epub 2017 Jan 29.