Hanyang Med Rev.  2016 Aug;36(3):151-154. 10.7599/hmr.2016.36.3.151.

A Multimodal Approach to Diabetic Macular Edema

• Lee JE

• KMID: 2350364
• DOI: http://doi.org/10.7599/hmr.2016.36.3.151

Abstract

Diabetic macular edema is one of the most common causes of visual acuity impairment in adults. Various treatment modalities are currently used. They include laser therapy, intravitreal or periocular injection of steroid, intravitreal injection of anti-vascular endothelial growth factor, and pars plana vitrectomy. Introduction of newer therapeutic agents, such as ranibizumab and aflibercept has changed the paradigm of treatment approaches for diabetic macular edema. However, traditional treatment methods, such as laser photocoagulation and vitrectomy, are still being used effectively in certain situations. Each treatment modality has its own unique mode of action, and has advantages and disadvantages at the same time. Given multiple mechanisms are involved in the development of diabetic macular edema, a combination treatment approach is often employed rather than using only one of the treatment modalities. In this review, treatment outcomes of each approach are summarized and combination approaches are discussed.

Keyword

Aflibercept; Bevacizumab; Dexamethasone; Diabetic Macular Edema; Ranibizumab

MeSH Terms

Adult
Bevacizumab
Dexamethasone
Endothelial Growth Factors
Humans
Injections, Intraocular
Intravitreal Injections
Laser Therapy
Light Coagulation
Macular Edema*
Ranibizumab
Visual Acuity
Vitrectomy
Bevacizumab
Dexamethasone
Endothelial Growth Factors
Ranibizumab

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