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Combined therapy for diabetic macular edema
Saba Al Rashaed1, J Fernando Arevalo
1Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia.
Middle East African Journal of Ophthalmology
|December 17, 2013
Summary
Intravitreal injections of triamcinolone, bevacizumab, and ranibizumab can improve vision and reduce swelling in diabetic macular edema (DME) patients when used with laser treatment.
Area of Science:
- Ophthalmology
- Endocrinology
- Pharmacology
Background:
- Diabetic macular edema (DME) is a leading cause of vision loss in diabetics.
- Affecting 9% of diabetic patients, DME management is complex and often requires multifaceted treatment strategies.
Purpose of the Study:
- To review the efficacy of intravitreal pharmacotherapy as an adjunct to laser treatment for DME.
- To summarize recent findings on combined treatment approaches for DME.
Main Methods:
- Literature search was performed to identify relevant studies.
- Recent findings on combined therapy for DME were summarized.
Main Results:
- Intravitreal triamcinolone, bevacizumab, and ranibizumab showed benefits as adjunctive therapy to macular laser treatment.
- These agents positively impacted macular thickness and visual acuity, regardless of edema type.
Conclusions:
- Pharmacotherapy complements focal/grid laser photocoagulation in DME management.
- Intravitreal injections offer a beneficial addition to existing DME treatment protocols.
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