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The purpose of this study is to measure effectiveness of yellow 577 nm laser compared to conventional green laser 532 nm for diabetic retinopathy in terms of number of treatment sessions required and visual acuity outcome.
The study also compares pain score of patients receiving laser treatment and side effects of laser treatment.
Diabetes mellitus (DM) is a major medical problem throughout the world. The most common and potentially most blinding of these complications is proliferative diabetic retinopathy (PDR).
Panretinal photocoagulation is established as the gold standard of treatment, supported by the data of the Diabetic Retinopathy Study (DRS).This study found that laser treatment reduced the rate of severe visual loss by 50%. Currently the green 532nm laser is the most common wavelength used. However, this conventional green laser has some complications such as pain, vitreous haemorrhage, choroidal effusion and visual field loss.
Due to the complication of conventional lasers, the yellow laser (577 nm)with peak absorption of oxyhemoglobin and good absorption of melanin is postulated to be more effective at producing retinal laser burns with a lower power and less pain compared to the green laser.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| green laser 532 nm conventional | Active Comparator | Current type of laser used for treatment of proliferative diabetic retinopathy |
|
| Yellow 577 nm laser | Active Comparator | new laser wavelength for treatment of PDR |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pan retinal photocoagulation laser treatment | Procedure | Eyes with PDR are randomised to treatment with either the green laser 532 nm or 577 nm yellow laser. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Visual acuity measurement by logarithm of the minimum angle of resolution (logMAR) | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Patient pain score during laser procedure | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Thirupathy Annamalai, MBBS | Contact | +79492060 | thirusukan@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Kenneth C Fong, FRCOphth | University of Malaya Eye Research Centre | Principal Investigator |
| Nurliza Khaliddin, FRCS | University of Malaya Eye Research Centre | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Malaya Eye Research Centre | Recruiting | Kuala Lumpur | Kuala Lumpur | 50603 | Malaysia |
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| ID | Term |
|---|---|
| D003930 | Diabetic Retinopathy |
| ID | Term |
|---|---|
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
| D003925 | Diabetic Angiopathies |
| D014652 | Vascular Diseases |
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| ID | Term |
|---|---|
| D007834 | Lasers |
| ID | Term |
|---|---|
| D055096 | Optical Devices |
| D004864 | Equipment and Supplies |
| D055618 | Radiation Equipment and Supplies |
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|
| D002318 |
| Cardiovascular Diseases |
| D048909 | Diabetes Complications |
| D003920 | Diabetes Mellitus |
| D004700 | Endocrine System Diseases |