Journal of the Korean Ophthalmological Society 1999;40(12):3384-3389.
Published online December 1, 1999.
The Study of Intraocular Vascular Endothelial Growth Factor Concentration in Diabetic Retinopathy after Panretinal Photocoagulation.
Suk Dong Kim, Jong Min Kim, Dong Peal Lee
Dapartment of Ophthalmology, Holy Family Hospital, The Catholic University Medical College.
당뇨망막병증에서 범망막광응고술에 의한 안내 혈관내피성장인자 농도의 변화
김석동(Suk Dong Kim),김종민(Jong Min Kim),이동필(Dong Peal Lee)
Abstract
Vascular endothelial growth factor[VEGF] might play important roles in angiogenesis of diabetic retinopathy. Aim of this study is to determine the effect of panretinal photocoagulation[PRP] on the level of VEGF in intraocular fluid of proliferative diabetic retinopathy[PDR]. Aqueous humor was obtained during cataract surgery from 35 eyes of 35 patients with PDR and VEGF concentration was measured using enzyme-linked immunosorbent assay[ELISA]. Patients were classified into 4 groups according to total amount of panretinal photocoagulation[PRP][group A:no PRP, group B: less than 1000 spots, group C: 1000~1500 spots, group D: more than 1500 spots] and VEGF level was analyzed in each group using Spearman's correlation coefficient by rank. Mean concentration of VEGF is 615pg/mlin group A, 307pg/mlin group B, 234 pg/mlin group C, and 136pg/mlin group D. The level of VEGF was significantly lower as total amount of PRP increased[p<0.05]. These findings suggest that therapeutic effect of PRP on PDR can be explained by the reduction of VEGF concentration in intraocular fluid.
Key Words: Proliferative diabetic retinopathy;Panretinal photocoagulation;Vascular endothelial growth factor


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