Observational studyScientific reports2026
Choroidal structure as predictor of macular changes and visual outcomes after panretinal photocoagulation in eyes with very severe NPDR and early PDR without center-involving DME.
Observational study in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
7 authors.
Funding
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Abstract
Panretinal photocoagulation (PRP) is widely used for advanced diabetic retinopathy, yet its effects on retinal and choroidal architecture remain incompletely characterized. This prospective observational study evaluated retinal and choroidal structural changes after PRP in 39 eyes of 21 patients with very severe non-proliferative diabetic retinopathy (NPDR) or early proliferative diabetic retinopathy (PDR) without center-involving diabetic macular edema (DME) using enhanced depth imaging optical coherence tomography (EDI-OCT) at baseline and at 1 and 3 months post-treatment. Quantitative parameters included foveal and whole macular thickness, subfoveal choroidal thickness (SFCT), and choroidal vascularity index (CVI), while intraretinal fluid (IRF) and hyperreflective foci (HF) were evaluated by masked graders. Foveal thickness increased significantly at 1 month (p = 0.017) and 3 months (p = 0.032), and whole macular thickness increased at 1 month (p < 0.001), with stable visual acuity. SFCT increase at 1 month was associated with retinal thickening (B = 0.154, p = 0.008). CVI elevation at 1 month correlated with visual improvement (B = - 0.015, p = 0.013), whereas CVI increase at 3 months was associated with visual decline (B = 0.019, p = 0.007). SFCT increase at 3 months was significantly associated with IRF formation (p = 0.016), indicating that EDI-OCT-derived choroidal metrics may serve as predictive biomarkers of post-PRP macular structural and functional responses.
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