Özet:

Objective: In the study, it was aimed to compare the effectiveness of intravitreal triamcinolone acetonide (IVTA), laser photocoagulation (LPC), and the LPC combined with IVTA treatments in patients with diabetic macular edema (DME). Materials and Methods: The patients were randomly separated into three groups: Group 1 (IVTA+LFC) consisted of 30 eyes of 22 patients, and the average age was 63.2 years. Group 2 (LFC)consisted of 34 eyes of 22 patients and the mean age was 59.9 years. Group 3(IVTA) consisted of 27 eyes of 21 patients with a mean age of 64.5 years. The complete eye examination including best-corrected visual acuity (BCVA), intraocular pressure (IOP) measurements, and the fundus inspection was carried out before and 1. 3. 6. and 9. months after the treatment. P50 amplitudes were measured with the PERG test, and edema map values (EMV) were measured with HRT II. Results: In Group 1, the BCVA increased in 26 eyes (86.6%), did not change in 3 eyes (10%), and decreased in one eye (3.3%). In Group 2, the BCVA increased in 18 eyes (52.9%), did not change in 10 eyes (29.4%), and decreased in 6 eyes (17.6%). In Group 3, the BCVA increased in 20 eyes (74%) and did not change in 7 eyes (25.9%). Conclusions: We observed the use of the laser FC combined with IVTA seems to be more effective than using each other of IVTA and laser FC solely. 

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