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Expert Interview Retinal Imaging
Diabetic Macular Oedema and
An Expert Interview with Maurizio Battaglia Parodi
Department of Ophthalmology, Ospedale San Raffaele, University Vita-Salute, Milan, Italy
Maurizio Battaglia Parodi
Maurizio Battaglia Parodi is currently working at the Department of Ophthalmology, Ospedale San Raffaele in Milan, and is Associate
Professor at University Vita-Salute in Milan. He has had previous appointments in the Departments of Ophthalmology at the University
of Trieste and the University of Udine, Italy. Maurizio Battaglia Parodi’s major clinical and research interests include age-related macular
degeneration, vascular diseases and dystrophies. He has taken part in many international clinical trials, and has authored over 210
peer-reviewed, scientific articles and three books. He has received many awards for his scientific activity and is a reviewer for some of the
most prestigious international journals.
Keywords Optical coherence tomography, imaging
Disclosure: Maurizio Battaglia Parodi has nothing to
declare in relation to this article. No funding was received
for the publication of this article. This is an expert
interview and as such has not undergone the journal’s
standard peer review process.
Authorship: All named authors meet the International
Committee of Medical Journal Editors (ICMJE) criteria
for authorship of this manuscript, take responsibility
for the integrity of the work as a whole, and have
given final approval to the version to be published.
Open Access: This article is published under the
Creative Commons Attribution Noncommercial License,
which permits any non-commercial use, distribution,
adaptation and reproduction provided the original
author(s) and source are given appropriate credit.
Received: 4 July 2017
Published Online: 21 July 2017
Citation: European Ophthalmic Review,
2017;11(1):21–2 Corresponding Author: Maurizio Battaglia Parodi,
Department of Ophthalmology, Vita-Salute University,
Ospedale San Raffaele, Via Olgettina 60, 20132, Milan,
Italy. E: firstname.lastname@example.org
M any important eye diseases manifest themselves in the retina, one of the most
prevalent of these is diabetic macular oedema. Retinal imaging and image analysis
have developed rapidly over the past 10 years, and image analysis is starting to
play an important role in the care of patients with retinal diseases. In advance of this year’s
EURETINA congress, European Ophthalmic Review’s Editor-in-Chief, Maurizio Battaglia Parodi, of
the University Vita-Salute, Milan, Italy, discusses the continuing role of laser treatment in clinically
significant macular oedema, retinal imaging and image analysis methods.
Q: In the era of intravitreal pharmacological treatments, what
is the role of laser treatment for clinically significant
Laser is not dead. Although intravitreal drugs including anti-vascular endothelial growth factor
(VEGF) and steroids, represent the typical approach for macular oedema in general, laser
treatment can still be useful. In particular, laser application can provide results similar to anti-
VEGF molecules in thinner diabetic macular oedema. In addition, Diabetic Retinopathy Clinical
Research Network (DRCRnet) data at 5 years support the efficacy of a combined therapy laser
and ranibizumab in the management of diabetic macular edema. Moreover, some cases of
macular oedema associated with diabetic retinopathy and retinal vein occlusion, can benefit
from peripheral laser photocoagulation in an attempt to reduce both up-regulation and release
of VEGF. Lastly, I would like to underline that laser treatment in general is now shifting to new
laser applications, scheduling subthreshold treatment in order to minimise the retinal damage
preserving the effects.
Q: Which presentations are you most looking forward to watching
at this year’s EURETINA congress?
I am particularly interested in the new treatments of retinal dystrophies, including gene
therapy and stem cell therapy bearing in mind the terrible socioeconomical burden they carry
on people affected.
Q: What has been the impact of the availability of optical
coherence tomography angiography on retinal imaging?
With the advent of optical coherence tomography angiography (OCTA), we can investigate the
retinal vascular architecture in a more feasible way with respect to fluorescein angiography/
guided indocyanine green angiography (FA/ICGA), allowing also a better visualisation of deeper
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