Treatment of hard exudates in CSME in PDR using Micropulse mode

Abstract

SummaryHard exudates are common in Diabetic Maculopathy. Quite often, it overlies the central part of the fovea causing severe visual loss. Some of the exudates may resorb while anti‐VEGF treating is performed or while normalizing diabetic control. Some of exudates remain in the fovea preventing visual function increase. Focal conventional laser coagulation as a DME treatment can speed up the proses of lipid resorption but it is associated with potential iatrogenic visual loss, especially in fovea region. Micropulse mode suggested to be safe and macular‐friendly treatment. This mode of laser energy delivery, if accurately titrated, do not left any signs of laser burns seen no on FA no on OCT. Micropulse 577 nm laser influence on lipids and surrounding RPE can stimulate hard exudates resorption and macular clearance. This potentially can be useful in case of visual loss due to hard exudates persisting in macular and especially foveal region.