The introduction of OCT and intravitreal pharmacotherapy has revolutionized the management of diabetic macular edema (DME). So far, central retinal thickness (CRT) is the most commonly used measure to quantify DME in randomized controlled trials and by retinal physicians in clinical practice. However, various studies showed that CRT has a modest correlation with visual acuity in DME and this relation is sometimes paradoxical. This presentation will highlight the microstructural changes in DME depicted by OCT including; patterns of microaneurysms, hyperreflective foci, outer retinal bands integrity, patterns of DME, localization of cystoid spaces, cystoid spaces reflectivity in relation to fluorescein pooling and OCT vascular changes. These microstructural changes can help to tailor DME management and give insight into the pathomorphology and visual prognosis.

Contact Details:

Cell Phone: +447459328031

Abdallah A Ellabban