Abstract | PURPOSE: METHODS: Twenty-eight eyes from 28 subjects who were diagnosed with nontractional DME refractory to three or more sequential anti- VEGF injections underwent sequential vitrectomy, IVTA, and macular laser photocoagulation. Changes in best-corrected visual acuity (BCVA) and central subfield thickness (CST) during the six months following vitrectomy were evaluated. Additionally, the CST and BCVA outcomes were compared with those of 26 eyes treated with the same triple therapy for nontractional DME refractory to conventional treatment, such as IVTA or macular laser photocoagulation, or both. RESULTS: The mean logarithm of the minimum angle of resolution BCVAs before and one, three, and six months after vitrectomy were 0.44 ± 0.15, 0.36 ± 0.18, 0.31 ± 0.14, and 0.34 ± 0.22, respectively. The mean CSTs were 433.3 ± 77.9, 329.9 ± 59.4, 307.2 ± 60.2, and 310.1 ± 80.1 microns, respectively. The values of both BCVA and CST at one, three, and six months were significantly improved from baseline (p < 0.05). The extent of CST reduction during the first month after triple therapy was greater in eyes refractory to conventional treatment than in eyes refractory to anti- VEGF (p = 0.012). CONCLUSIONS:
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Authors | Jae Hui Kim, Se Woong Kang, Hyo Shin Ha, Jae Ryung Kim |
Journal | Korean journal of ophthalmology : KJO
(Korean J Ophthalmol)
Vol. 27
Issue 3
Pg. 186-93
(Jun 2013)
ISSN: 2092-9382 [Electronic] Korea (South) |
PMID | 23730111
(Publication Type: Journal Article)
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Chemical References |
- Immunosuppressive Agents
- Triamcinolone Acetonide
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Topics |
- Aged
- Combined Modality Therapy
- Diabetic Retinopathy
(drug therapy, surgery)
- Female
- Humans
- Immunosuppressive Agents
(administration & dosage)
- Intravitreal Injections
- Light Coagulation
(methods)
- Macula Lutea
(drug effects, surgery)
- Macular Edema
(drug therapy, surgery)
- Male
- Middle Aged
- Retrospective Studies
- Triamcinolone Acetonide
(administration & dosage)
- Vitrectomy
(methods)
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