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. 2017 May 24;34(7):1528–1555. doi: 10.1007/s12325-017-0559-y

Table 3.

Overview of the studies investigating subthreshold micropulse laser treatment for macular edema after branch retinal vein occlusion

Authors Year Eyes Inclusion criteria Laser type and parameters Study design
Parodi et al. [56] 2015

35 eyes

Group 1:

SML: n = 18

Group 2:

IVT

Bevacizumab

(PRN after 3

initial injections)

n = 17

ME to due BRVO

CFT > 250 µm

Without non-perfusion ≥ 5 disc areas

All eyes were previously treated with conventional grid laser

Iris Medical

OcuLight SLX

810 nm, Ø 125 µm, 15% DC, 0.3 s, power: titration

Prospective, randomized, interventional
Inagaki et al. [57] 2014

32 eyes

Group 1:

BCVA ≤20/40

n = 15

Group 2:

BCVA >20/40

n = 17

ME due to BRVO (ischemic/non-ischemic)

CRT <600 µm

No prior macular therapy (LC, IVT etc.) within last 6 months

Iris Medical

OcuLight SLX,

810 nm, Ø 200 µm, 15% DC, 0.2 or 0.3 s, Power:

750–1500 mW (90%) for 0.2 s or 360–2000 mW (60%) for 0.3 s

Retrospective, single-center, nonrandomized, interventional case series
Parodi et al. [58] 2008

24 eyes

Group 1:

SML only n = 13

Group 2:

SML + IVT Triamcinolone n = 11

ME due to BRVO

CRT >212 µm

No prior laser treatment

Without non-perfusion ≥5 disc areas

Iris Medical

OcuLight SLX,

810 nm

Ø 125 µm

15% DC, 0.3 s

Power: titration

Prospective randomized pilot clinical trial
Parodi et al. [59] 2006

36 eyes

Group 1:

SML grid

n = 17

Group 2: Krypton grid

n = 19

ME due to BRVO

CRT >210 µm

No prior laser treatment

Without non-perfusion ≥5 disc areas

Iris Medical

OcuLight SLX 810 nm

Ø 125 µm, 10% DC, 0.2 s, power: titration

Novus Omni Krypton

Ø 100 µm, 0.1 s

Prospective, randomized clinical trial
Authors FU (months) Central retinal thickness Best corrected visual acuity Safety Additional treatments
Parodi et al. [56] 12

SML group (CFT):

BL: 485.5 µm

3 months: 472.0 µm

6 months: 475.0 µm

9 months: 475.0 µm

12 months: 445.0 µm

IVT group (CFT):

BL: 484.2 µm

3 months: 305.0 µm

6 months: 266.0 µm

9 months: 265.0 µm

12 months: 271.0 µm

IVT group significantly better (p = 0.001)

SML group:

BL: 0.92 logMAR

3 months: 0.89 logMAR

6 months: 0.89 logMAR

9 months: 0.94 logMAR

12 months: 0.99 logMAR

IVT group:

BL: 0.94 logMAR

3 months: 0.88 logMAR

6 months: 0.88 logMAR

9 months: 0.85 logMAR

12 months: 0.72 logMAR

IVT group significantly better (p = 0.0085)

No laser scars Not mentioned
Inagaki et al. [57] 12

Group 1: (BCVA ≤20/40 Snellen)

BL: 409.3 µm

1 month: 394.3 µm

3 months: 371.3 µm

6 months: 313.5 µm

12 months: 303.5 µm

Group 2: (BCVA >20/40 Snellen)

BL : 373.3 µm

1 month: 353.5 µm

3 months: 313.1 µm

6 months: 294.1 µm

12 months: 320.1 µm

Significant CRT decrease at 3, 6,

and 12 months for both groups. No

significant difference between the

groups at any time point

Group 1: (BCVA ≤ 20/40 Snellen)

BL: 0.59 logMAR

1 month: 0.54 logMAR

3 months: 0.54 logMAR

6 months: 0.58 logMAR

12 months: 0.51 logMAR

Group 2: (BCVA >20/40 Snellen)

BL: 0.13 logMAR

1 month: 0.09 logMAR

3 months: 0.13 logMAR

6 months: 0.09 logMAR

12 months: 0.12 logMAR

No laser scars

Group 1:

n = 8 (53.3%)

Group 2:

n = 3 (17.6%)

Parodi et al. [58] 12

SML only:

BL: 429 µm

3 months: 364 µm

6 months: 320 µm

9 months: 290 µm

12 months: 278 µm

SML + IVT (triamcinolone):

BL: 476 µm

3 months: 269 µm

6 months: 276 µm

9 months: 260 µm

12 months: 283 µm

Combined SML + IVT showed better response at 3 months (p < 0.001). No difference between groups from 9th month on

SML only:

BL: 0.76 logMAR

3 month: 0.78 logMAR

6 months: 0.78 logMAR

9 months: 0.73 logMAR

12 months: 0.65 logMAR

SML + IVT (triamcinolone):

BL: 0.67 logMAR

3 months: 0.50 logMAR

6 months: 0.45 logMAR

9 months: 0.36 logMAR

12 months: 0.35 logMAR

Combined SML + IVT showed significant better response at 9th and 12th months (p < 0.009, p = 0.011, respectively)

No Laser scars Not mentioned
Parodi et al. [59] 24

SML grid:

BL: 480 µm

6 months: 457 µm

12 months: 217 µm

18 months: 215 µm

24 months: 208 µm

Krypton grid:

BL: 454 µm

6 months: 252 µm

12 months: 226 µm

18 months: 229 µm

24 months: 217 µm

Krypton showed better response at 3 months and 6 months (p < 0.001). SML showed better response from 12th month on (p < 0.001)

SML grid:

BL: 0.70 logMAR

6 months: 0.70 logMAR

9 months: 0.55 logMAR

12 months: 0.51 logMAR

24 months: 0.49 logMAR

Krypton grid:

BL: 0.69 logMAR

6 months: 0.60 logMAR

9 months: 0.58 logMAR

12 months 0.57 logMAR

24 m: 0.56 logMAR

No statistical difference between groups

No laser scars after SML Not mentioned

BRVO branch retinal vein occlusion, BL baseline, CFT central foveal thickness, CRT central retinal thickness, DC duty cycle, FA fluorescein angiography, IVT intravitreal drug therapy, logMAR logarithm of the minimum angle of resolution, ME macular edema, PRN pro re nata, SML subthreshold micropulse laser