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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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DIABETIC RETINOPATHY UPDATE
Year : 2013  |  Volume : 20  |  Issue : 4  |  Page : 315-320

Combined therapy for diabetic macular edema


1 Vitreoretinal Division, King Khaled Eye Specialist Hospital, Riyadh, Kingdom of Saudi Arabia
2 Retina Division, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD, USA

Correspondence Address:
Saba Al Rashaed
Vitreoretinal Division, King Khaled Eye Specialist Hospital, Al-Oruba Street, P.O. Box 7191,, Riyadh 11462
Kingdom of Saudi Arabia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.120014

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Diabetic macular edema (DME) is the main cause of visual impairment in diabetic patients. Macular edema within 1 disk diameter of the fovea is present in 9% of the diabetic population. The management of DME is complex and often multiple treatment approaches are needed. This review demonstrates the benefits of intravitreal triamcinolone, bevacizumab and ranibizumab as adjunctive therapy to macular laser treatment in DME. The published results indicate that intravitreal injections of these agents may have a beneficial effect on macular thickness and visual acuity, independent of the type of macular edema that is present. Therefore, pharmacotherapy could complement focal/grid laser photocoagulation in the management of DME. For this review, we performed a literature search and summarized recent findings regarding combined therapy for DME.


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