GRID LASER PHOTOCOAGULATION FOR MACULAR EDEMA IN UVEITIS OR THE IRVINE-GASS-SYNDROME

Aims-To determine the effect of modified macular grid photocoagulation in patients with refractory macular oedema due to uveitis or cataract extraction. Methods-In this study 20 patients with macular oedema und erwent modified macular grid laser photocoagulation and were followed by means of standardised examinations (day 0, months 2, 6, and 12) con sisting of best corrected visual acuity and fluorescein angiography. R esults-The mean visual acuity increased from 0.16 before to 0.3 after laser treatment (p=0.013), and fluorescein leakage was significantly r educed (p=0.005). Visual prognosis was influenced by duration of the u veitis, not by sex or age. Conclusion-Modified macular grid laser phot ocoagulation had a beneficial effect on macular oedema caused by uveit is or the Irvine-Gass syndrome. A prospective, randomised study is nee ded to determine the exact place of modified macular grid photocoagula tion in the treatment of patients with inflammatory or postsurgical ma cular oedema.