Zhang YZ, Gong H, Yang J, Bu JP, Yang HL. Efficacy comparison of multipoint and single point scanning panretinal laser photocoagulation in non-proliferative diabetic retinopathy treatment. World J Diabetes 2024; 15(8): 1734-1741 [PMID: 39192851 DOI: 10.4239/wjd.v15.i8.1734]
Corresponding Author of This Article
Hui-Ling Yang, MBBS, Doctor, Department of Ophthalmology, Hunan Children‘s Hospital, No. 86 Ziyuan Road, Changsha 410007, Hunan Province, China. yanghl1211@126.com
Research Domain of This Article
Ophthalmology
Article-Type of This Article
Randomized Controlled Trial
Open-Access Policy of This Article
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World J Diabetes. Aug 15, 2024; 15(8): 1734-1741 Published online Aug 15, 2024. doi: 10.4239/wjd.v15.i8.1734
Table 1 Comparison of baseline clinical data, n (%)
Clinical parameters
Multi-point mode, n = 26
Single point mode, n = 23
t/χ²
P value
Male sex
16 (61.64)
12 (52.17)
0.437
0.509
Average age in years
44.92 ± 6.35
44.22 ± 6.40
0.384
0.703
Average body mass index in kg/m2
22.80 ± 2.87
23.95 ± 2.50
1.486
0.144
Smoking
3 (11.54)
4 (17.39)
0.341
0.559
Alcohol drinker
3 (11.54)
3 (13.04)
0.026
0.873
ALT in U/L
29.11 ± 14.54
29.83 ± 14.13
0.175
0.862
AST in U/L
34.22 ± 16.64
36.20 ± 17.02
0.411
0.683
FBG in mmol/L
5.20 ± 0.85
5.30 ± 1.01
0.376
0.708
Creatinine in μmol/L
72.48 ± 14.73
63.26 ± 17.67
1.992
0.052
Creatine kinase in U/L
181.87 ± 135.88
177.37 ± 114.54
0.124
0.902
Uric acid in μmol/L
373.43 ± 95.80
389.90 ± 96.51
0.599
0.552
Concurrent diseases
Hypertension
2 (7.69)
4 (17.39)
1.068
0.301
Nonalcoholic fatty liver disease
2 (7.69)
1 (4.35)
0.238
0.626
Liver cirrhosis
1 (3.85)
0 (0.00)
0.903
0.342
Table 2 Comparison of surgical indicators
Groups
Eyes
Laser energy in mW
Energy density in mW·ms/μm2
Multipoint group
46
551.93 ± 64.25
0.51 ± 0.08
Single point group
40
540.64 ± 73.77
2.02 ± 0.92
t
-
0.759
11.094
P value
-
0.450
0.000
Table 3 Distinctions in therapy response rates, n (%)
Groups
Eyes
Changes in vision
Improve
Unchanged
Decline
Multipoint group
46
17 (36.96)
26 (56.52)
3 (6.52)
Single point group
40
8 (20.00)
25 (62.50)
7 (17.50)
χ²
-
2.983
0.574
2.509
P value
-
0.084
0.317
0.113
Table 4 Comparison of LogMAR best-corrected visual acuity before and after therapy
Groups
Eyes
Pre-therapy
1 month after surgery
6 months after surgery
12 months after surgery
Multipoint group
46
0.65 ± 0.08
0.54 ± 0.10
0.49 ± 0.11
0.51 ± 0.10
Single point group
40
0.68 ± 0.09
0.60 ± 0.10
0.48 ± 0.09
0.53 ± 0.06
t
-
1.637
2.775
0.457
1.103
P value
-
0.105
0.007
0.649
0.273
Table 5 Comparison of central macular thickness before and after therapy
Groups
Eyes
Pre-therapy
1 month after surgery
6 months after surgery
12 months after surgery
Multipoint group
46
446.36 ± 175.99
366.74 ± 102.17
346.41 ± 85.47
345.72 ± 82.03
Single point group
40
455.08 ± 118.94
423.35 ± 94.54
359.14 ± 76.18
349.35 ± 86.54
t
-
0.265
2.653
0.724
0.200
P value
-
0.792
0.010
0.471
0.842
Table 6 Comparison of the incidence of adverse reactions, n (%)
Groups
Cases
Iritis
Vitreous hemorrhage
Tractional retinal detachment
Overall incidence
Multipoint group
26
1 (3.85)
1 (3.85)
0 (0.00)
2 (7.69)
Single point group
23
2 (8.70)
1 (4.35)
1 (4.35)
4 (17.39)
Fisher
-
-
-
-
1.068
P value
-
-
-
-
0.301
Citation: Zhang YZ, Gong H, Yang J, Bu JP, Yang HL. Efficacy comparison of multipoint and single point scanning panretinal laser photocoagulation in non-proliferative diabetic retinopathy treatment. World J Diabetes 2024; 15(8): 1734-1741