Table 5. Univariate analysis of the prognostic systemic and ocular factors for gain in vision after macular laser treatment for DMO.
Gainers (n=47) | Losers (n=53) | P-value | |
---|---|---|---|
Systemic factors | |||
Age at baseline (years) | |||
<65 | 26 | 11 | 0.8 |
≥65 | 35 | 28 | 0.3 |
Ethnic groups | |||
Caucasians | 20 | 17 | 0.3 |
Non-Caucasians | 27 | 36 | |
Gender | |||
Male | 25 | 28 | 0.2 |
Female | 22 | 25 | |
Duration of diabetes (years) | |||
<15 | 26 | 37 | 0.9 |
≥15 | 21 | 16 | 0.4 |
Diabetic medications | |||
Oral | 11 | 10 | 0.009 |
Insulin/oral+insulin | 36 | 43 | |
Time to start of insulin | |||
Before first laser | 24 | 22 | 0.9 |
During the 5 years | 7 | 12 | 0.8 |
Baseline HbA1C | |||
<7.5 | 8 | 13 | 0.5 |
≥7.5 | 39 | 40 | 0.9 |
Baseline systolic BP, mm Hg | |||
<140 | 21 | 24 | 0.4 |
≥140 | 26 | 29 | 0.7 |
Baseline diastolic BP, mm Hg | |||
<90 | 36 | 41 | 0.9 |
≥90 | 11 | 12 | 0.3 |
Number of antihypertensives at end of follow-up | |||
0–2 | 22 | 33 | 0.09 |
≥3 | 25 | 20 | |
Baseline BMI | |||
<25 | 9 | 6 | 0.7 |
≥25 | 38 | 47 | 0.0006 |
Ocular factors | |||
Baseline VA (ETDRS letters) | |||
<55 | 10 | 6 | 0.001 |
≥55 | 20 | 23 | 0.4 |
Lens status: phakic | 44 | 48 | |
Previous pseudophakia | 3 | 5 | 0.2 |
Pseudophakia during study | 2 | 5 | |
DR status at baseline | |||
Non-PDR | 43 | 48 | 0.3 |
PDR | 4 | 5 | |
Number of macular laser treatments | |||
1–3 | 39 | 37 | 0.008 |
>3 | 8 | 16 | |
Number of clinic appointments | |||
Mean | 19.23 | 19.6 | |
Range | 4–34 | 3–39 | |
Number of failed clinic appointments | |||
Mean | 3.02 | 3.75 | 0.009 |
Range | 0–7 | 0–12 |
Abbreviations: BMI, body mass index; BP, blood pressure; DM, diabetes mellitus; DMO, diabetic macular oedema; ETDRS, early treatment diabetic retinopathy study; HT, hypertension; PRP, pan-retinal photocoagulation.
Gainers: loss of <5 ETDRS letters; losers: loss of ≥5 ETDRS letters.