Early response of anti-vascular endothelial growth factor (anti-VEGF) in diabetic macular edema (DME) management: microperimetry and optical coherence tomography (OCT) findings: a pilot study at national eye center of third world country
2024

Early Response of Anti-VEGF in Diabetic Macular Edema Management

Sample size: 12 publication Evidence: moderate

Author Information

Author(s): Ihsan Grimaldi, Kwartika Ameliza, Widyanatha Made Indra, Virgana Rova, Iskandar Erwin, Kartasasmita Arief Sjamsulaksan

Primary Institution: National Eye Center Cicendo Eye Hospital, Bandung, Indonesia

Hypothesis

To evaluate early response of retinal sensitivity and retinal morphology in diabetic macular edema patients after intravitreal anti-VEGF treatment.

Conclusion

Microperimetry can be a useful tool in predicting the functional outcome and determining the efficacy of anti-VEGF treatment for diabetic macular edema patients.

Supporting Evidence

  • Retinal sensitivity improved significantly from 7.94 dB before treatment to 14.22 dB one month after treatment.
  • Central macular thickness decreased significantly from 449.33 μm before treatment to 357.93 μm one month after treatment.
  • There was a significant negative correlation between central macular thickness and retinal sensitivity.

Takeaway

This study shows that a treatment for eye swelling in diabetes can help improve vision and the health of the eye.

Methodology

This was a prospective study involving 16 eyes of 12 patients with diabetic macular edema, using microperimetry and OCT to assess retinal sensitivity and morphology before and after anti-VEGF treatment.

Limitations

The study only included a limited number of patients and evaluated the response up to one month after the first dose of anti-VEGF.

Participant Demographics

12 patients (5 men and 7 women) aged 52-69 years, all with type 2 diabetes.

Statistical Information

P-Value

<0.001

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1186/s12886-024-03744-8

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