Abstract

Diabetic maculopathy with marked exudation may lead to subretinal fibrosis. Two patients observed over multiple years evolved from macular exudation into subretinal fibrosis with severe visual loss. Spectral domain optical coherence tomography and color photographs document the clinical changes.

Highlights

  • Marked exudation in the macula center of patients with advanced diabetic retinopathy is associated with significant visual loss, which may not improve with currently available treatments [1]-[7]

  • This case series documented spectral domain optical coherence tomography (SD-OCT) diagnosis and clinical outcomes of two patients with diabetes-related severe macular exudation, which evolved into subretinal fibrosis

  • A poorly controlled diabetic patient was observed over the final years of the patient’s life, during which time prominent macular exudates evolved into subretinal fibrosis

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Summary

Introduction

Marked exudation in the macula center of patients with advanced diabetic retinopathy is associated with significant visual loss, which may not improve with currently available treatments [1]-[7]. This case series documented spectral domain optical coherence tomography (SD-OCT) diagnosis and clinical outcomes of two patients with diabetes-related severe macular exudation, which evolved into subretinal fibrosis

Case Series
Case 2
Findings
Discussion
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