Ultra-Widefield Fluorescein Angiographic Quantitative Leakage Parameters and Clinical Outcomes in Nonproliferative Diabetic Retinopathy
JAMA Ophthalmology 10.1001/jamaophthalmol.2025.5658January 29, 2026 at 11:00 AM EST
Is retinal leakage on ultra-widefield fluorescein angiography associated with progression of diabetic retinopathy (DR)?In cohort study involving a post hoc analysis of 537 eyes with nonproliferative DR, higher baseline leakage index and a 1% or greater increase at 1 year were associated with greater risk of DR worsening, vitreous hemorrhage, and proliferative DR over 4 years.Quantitative leakage measurements may serve as promising biomarkers to predict DR progression and complications, supporting their potential use in clinical practice and trials for risk stratification and monitoring.
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