Intravitreal Bevacizumab with or without triamcinolone for refractory diabetic macular oedema

Authors

SYNEK Svatopluk VESELÝ Petr

Year of publication 2011
Type Article in Periodical
Magazine / Source Collegium Antropologicum
MU Faculty or unit

Faculty of Medicine

Citation
Field ORL, ophthalmology, stomatology
Keywords Bevacizumab; Diabetický makulární edém; triamcinolone; intravitreal injection
Description We evaluate the effect of intravitreal injections of Bevacizumab (IVB) alone or combined with triamcinolone (IVT) in the first injection for treatment of refractory diabetic macular oedema (DME). Sixty eyes of sixty patients with refractory DME were included. Half of the receive injections of IVB (1.25 mg/0.05 ml) or combined IVB and IVT (1.25 mg/0.05 ml and 2 mg/0.05 ml respectively). The primary outcome measure was change in central macular thickness (CMT). Secondary outcome measures were change in best-corrected logMAR visual acuity (BCVA) and incidence of potential adverse events. Central macular thickness was reduced significantly in both the IVB and IVB/IVT groups. At week 24, CMT change compared to the baseline was 93.7 um (95% CI, 172.2 to 19.26) in the IVB group and 93.1 um (95% CI, 154.4 to 29.7) in the IVB/IVT group. There was not a significant difference between the IVB and the IVB/IVT groups. Improvement of BCVA was initiated at weeks 6 and 12 in the IVB/IVT and IVB groups respectively.

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