Intravitreal Bevacizumab Alone versus Combined with Macular Photocoagulation in Diabetic Macular Edema
Korean Journal of Ophthalmology
; : 299-304, 2011.
Article
in En
| WPRIM
| ID: wpr-138092
Responsible library:
WPRO
ABSTRACT
PURPOSE: To compare the efficacy between intravitreal bevacizumab and combination treatment (bevacizumab and macular photocoagulation) for the treatment of diabetic macular edema (DME). In addtion, changes of DME type were researched using optical coherence tomography. METHODS: The present study included 90 eyes with bevacizumab injection and 38 eyes with combination treatment. Using chart records, patients were reviewed until 6 months after treatment. The present study compared changes of visual acuity (VA) and macular thickness at each follow up. DME was classified into 4 types and the morphologic pattern was compared. RESULTS: In patients with the bevacizumab injection only, VA improved from 0.29 +/- 0.18 to 0.48 +/- 0.26 at 1 month and returned to 0.32 +/- 0.20 at 6 months after treatment. In the combination treatment, VA improved from 0.32 +/- 0.22 to 0.52 +/- 0.26 at 1 month and returned to 0.36 +/- 0.18 at 6 months after treatment. There was no significant improvement of VA at the final follow-up with either treatment. There was significant decrease of macular thickness except in the mixed DME type. CONCLUSIONS: The combination treatment did not yield better VA or macular thickness reduction at 6 months than bevacizumab injection alone. By classifying and observing the change of DME type, determining the treatment objectively and predicting the effectiveness of treatment can be helpful.
Key words
Full text:
1
Database:
WPRIM
Main subject:
Fluorescein Angiography
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Visual Acuity
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Macular Edema
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Retrospective Studies
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Follow-Up Studies
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Treatment Outcome
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Laser Coagulation
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Angiogenesis Inhibitors
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Microscopy, Acoustic
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Vascular Endothelial Growth Factor A
Type of study:
Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limits:
Female
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Humans
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Male
Language:
En
Journal:
Korean Journal of Ophthalmology
Year:
2011
Document type:
Article