Initial observation or treatment for diabetic macular oedema with good visual acuity: two‐year outcomes comparison in routine clinical practice: data from the Fight Retinal Blindness! Registry.
In: Acta Ophthalmologica (1755375X), Jg. 100 (2022-05-01), Heft 3, S. 285-294
Online
academicJournal
Zugriff:
Purpose: To compare visual acuity (VA) change at 24 months in eyes with clinically significant DME (CSDME) and good VA initially treated versus initially observed in routine clinical practice. Methods: Retrospective analysis of treatment‐naïve eyes with CSDME and good VA (baseline VA ≥ 79 letters), with at least 24 months of follow‐up and initially managed with treatment (intravitreal treatment and/or macular laser) or observation with possible treatment after 4 months that were tracked in a prospectively designed observational registry. Results: We identified 150 eligible eyes (98 initially observed, 52 initially treated) of 130 patients. The proportion of eyes with at least a 5‐letter VA loss at 24 months was not significantly different between the groups: 65% with initial observation and 42% with initial treatment (p = 0.39). However, initially observed eyes were more likely to have a 10‐letter VA loss at 24 months (OR = 4.6, p = 0.022). Most of eyes in the initial observation group received at least one treatment (an intravitreal injection in 66% and macular laser in 20%) during the 24‐month period. Conclusions: The risk of 5 letters loss was similar between both management groups. However, initially observed eyes were more at risk of developing moderate visual loss and more than 80% of them required treatment over 24 months. [ABSTRACT FROM AUTHOR]
Titel: |
Initial observation or treatment for diabetic macular oedema with good visual acuity: two‐year outcomes comparison in routine clinical practice: data from the Fight Retinal Blindness! Registry.
|
---|---|
Autor/in / Beteiligte Person: | Gabrielle, Pierre‐Henry ; Nguyen, Vuong ; Bhandari, Sanjeeb ; Mehta, Hemal ; Viola, Francesco ; Arnold, Jennifer ; Fraser‐Bell, Samantha ; Barthelmes, Daniel ; Creuzot‐Garcher, Catherine ; Gillies, Mark |
Link: | |
Zeitschrift: | Acta Ophthalmologica (1755375X), Jg. 100 (2022-05-01), Heft 3, S. 285-294 |
Veröffentlichung: | 2022 |
Medientyp: | academicJournal |
ISSN: | 1755-375X (print) |
DOI: | 10.1111/aos.14672 |
Schlagwort: |
|
Sonstiges: |
|