PMID- 30561087 OWN - NLM STAT- MEDLINE DCOM- 20190718 LR - 20190718 IS - 1755-3768 (Electronic) IS - 1755-375X (Linking) VI - 97 IP - 5 DP - 2019 Aug TI - Central retinal thickness following panretinal photocoagulation using a multispot semi-automated pattern-scanning laser to treat ischaemic diabetic retinopathy: Treatment in one session compared with four monthly sessions. PG - e680-e687 LID - 10.1111/aos.14002 [doi] AB - PURPOSE: To compare central retinal thickness (CRT) after panretinal photocoagulation (PRP) with a multispot semi-automated PAttern-SCAnning Laser (PASCAL) in one session (SS-PRP) versus four monthly sessions (MS-PRP) in diabetic retinopathy. METHODS: Multicentre, prospective, randomized, single-blinded, controlled trial evaluating the noninferiority of SS-PRP versus MS-PRP for CRT measured with macular spectral-domain optical coherence tomography (SD-OCT), with a 9-month follow-up in patients presenting severe nonproliferative diabetic retinopathy (DR) or mild proliferative DR without macular oedema (ME) at baseline. RESULTS: Ninety-seven eyes of 97 participants with a mean age of 57.0 +/- 14.2 years were included. The mean change of CRT from baseline to 9 months was not statistically different in SS-PRP or in MS-PRP: +16.9 +/- 28.3 mum versus +24.7 +/- 31.8 mum, respectively (p = 0.224). The variation in mean best-corrected visual acuity (BCVA) from baseline to 9 months was similar in both groups: -1.1 +/- 6.5 letters versus -0.6 +/- 6.2 letters (p = 0.684). The number of patients with stabilization of DR was not statistically different between the two groups. No severe complication was recorded in either group. CONCLUSION: This study showed the noninferiority of PRP performed in one session versus four monthly sessions with a PASCAL concerning central retinal thickness for treating mild proliferative or severe nonproliferative DR without ME at baseline. CI - (c) 2018 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd. FAU - Gabrielle, Pierre-Henry AU - Gabrielle PH AD - Department of Ophthalmology, University Hospital, Dijon, France. AD - Eye and Nutrition Research Group, Centre des Sciences du Gout et de l'Alimentation, UMR1324 INRA, 6265 CNRS, University of Bourgogne Franche-Comte, Dijon, France. FAU - Massin, Pascale AU - Massin P AD - Department of Ophthalmology, Hopital Lariboisiere, AP-HP, Universite Paris 7 - Sorbonne Paris Cite, Paris, France. FAU - Kodjikian, Laurent AU - Kodjikian L AD - Department of Ophthalmology, Croix-Rousse teaching Hospital, Hospices Civil de Lyon, Lyon, France. FAU - Erginay, Ali AU - Erginay A AD - Department of Ophthalmology, Hopital Lariboisiere, AP-HP, Universite Paris 7 - Sorbonne Paris Cite, Paris, France. FAU - Pallot, Charlotte AU - Pallot C AD - Department of Ophthalmology, University Hospital, Dijon, France. AD - Eye and Nutrition Research Group, Centre des Sciences du Gout et de l'Alimentation, UMR1324 INRA, 6265 CNRS, University of Bourgogne Franche-Comte, Dijon, France. FAU - Jonval, Lysiane AU - Jonval L AD - Department of Clinical Research and Epidemiology, University Hospital, Dijon, France. FAU - Soudry, Agnes AU - Soudry A AD - Department of Clinical Research and Epidemiology, University Hospital, Dijon, France. FAU - Couturier, Aude AU - Couturier A AD - Department of Ophthalmology, Hopital Lariboisiere, AP-HP, Universite Paris 7 - Sorbonne Paris Cite, Paris, France. FAU - Vardanian-Vartin, Cristina AU - Vardanian-Vartin C AD - Department of Ophthalmology, Croix-Rousse teaching Hospital, Hospices Civil de Lyon, Lyon, France. FAU - Bron, Alain M AU - Bron AM AD - Department of Ophthalmology, University Hospital, Dijon, France. AD - Eye and Nutrition Research Group, Centre des Sciences du Gout et de l'Alimentation, UMR1324 INRA, 6265 CNRS, University of Bourgogne Franche-Comte, Dijon, France. FAU - Creuzot-Garcher, Catherine AU - Creuzot-Garcher C AUID- ORCID: 0000-0002-3587-4598 AD - Department of Ophthalmology, University Hospital, Dijon, France. AD - Eye and Nutrition Research Group, Centre des Sciences du Gout et de l'Alimentation, UMR1324 INRA, 6265 CNRS, University of Bourgogne Franche-Comte, Dijon, France. LA - eng GR - Dijon University Hospital/ PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20181218 PL - England TA - Acta Ophthalmol JT - Acta ophthalmologica JID - 101468102 SB - IM MH - Diabetic Retinopathy/diagnosis/physiopathology/*surgery MH - Disease Progression MH - Female MH - Fluorescein Angiography MH - Follow-Up Studies MH - Fundus Oculi MH - Humans MH - Laser Coagulation/*methods MH - Male MH - Middle Aged MH - Postoperative Period MH - Prospective Studies MH - Retina/*pathology/surgery MH - Single-Blind Method MH - Time Factors MH - Tomography, Optical Coherence/*methods MH - Treatment Outcome MH - Visual Acuity OTO - NOTNLM OT - diabetic retinopathy OT - macular oedema OT - panretinal photocoagulation OT - pattern scanning laser EDAT- 2018/12/19 06:00 MHDA- 2019/07/19 06:00 CRDT- 2018/12/19 06:00 PHST- 2018/06/30 00:00 [received] PHST- 2018/11/21 00:00 [accepted] PHST- 2018/12/19 06:00 [pubmed] PHST- 2019/07/19 06:00 [medline] PHST- 2018/12/19 06:00 [entrez] AID - 10.1111/aos.14002 [doi] PST - ppublish SO - Acta Ophthalmol. 2019 Aug;97(5):e680-e687. doi: 10.1111/aos.14002. Epub 2018 Dec 18.