Pharmacological Management of Diabetic Macular Edema in Real-Life Observational Studies
Joint Authors
Bellocq, David
Mathis, Thibaud
Kodjikian, Laurent
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-16, 16 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-08-28
Country of Publication
Egypt
No. of Pages
16
Main Subjects
Abstract EN
Objectives of the Study.
Summary of observational studies concerning the pharmacological management of diabetic macular edema (DME).
Methods.
A literature review was conducted using the PubMed database on 1 February 2018 to identify studies evaluating the efficacy of anti-VEGF and dexamethasone (DEX) implants for DME.
Studies with more than 10 patients and follow-up of more than 6 months were selected.
Analyses were carried out on the overall population and on subgroups defined according to baseline visual acuity (BVA) and the patients’ naïve or non-naïve status.
Results.
Thirty-two studies evaluating the efficacy of anti-VEGF and 31 studies evaluating the efficacy of DEX-implants were retained, concerning 6,842 and 1,703 eyes, respectively.
A mean gain of +4.7 letters for a mean of 5.8 injections (mean follow-up: 15.6 months) and +9.6 letters for a mean of 1.6 injections (10.3 months) was found in the anti-VEGF and DEX-implant studies, respectively.
Final VA appears to be similar for both treatment (62 letters for anti-VEGF, 61.2 letters for DEX-implant), and BVA appears lower for DEX-implant, which may partially explain the greater visual gain.
The DEX-implant studies show greater gains in VA compared to the anti-VEGF studies, especially for higher BVA.
Indeed, mean gains for the subgroups of patients with BVA<50 letters, 50
Regarding the patient’s initial status, only naïve status appears to confer the best functional response in DEX-implant studies.
Conclusion.
Observational studies investigating DEX-implant report clinically similar final VA when compared to anti-VEGF, but superior visual gains in real-life practice.
This latter difference could be due to the better BVA, but also to the fact that less injections were administered in the anti-VEGF observational studies than in the interventional studies.
American Psychological Association (APA)
Kodjikian, Laurent& Bellocq, David& Mathis, Thibaud. 2018. Pharmacological Management of Diabetic Macular Edema in Real-Life Observational Studies. BioMed Research International،Vol. 2018, no. 2018, pp.1-16.
https://search.emarefa.net/detail/BIM-1129029
Modern Language Association (MLA)
Kodjikian, Laurent…[et al.]. Pharmacological Management of Diabetic Macular Edema in Real-Life Observational Studies. BioMed Research International No. 2018 (2018), pp.1-16.
https://search.emarefa.net/detail/BIM-1129029
American Medical Association (AMA)
Kodjikian, Laurent& Bellocq, David& Mathis, Thibaud. Pharmacological Management of Diabetic Macular Edema in Real-Life Observational Studies. BioMed Research International. 2018. Vol. 2018, no. 2018, pp.1-16.
https://search.emarefa.net/detail/BIM-1129029
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1129029