Efficacy of intravitreal ranibizumab injection combined with macular grid photocoagulation for diabetic macular edema

AIM:To evaluate the clinical efficacy of intravitreal injection of ranibizumab combined with macular grid photocoagulation for diabetic macular edema(DME).<p>METHODS:Totally 60 eyes(60 patients)with DME were randomly divided into 2 groups: 30 eyes of simple injection group underwent intravitre...

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Main Authors: Hu-Lin Jiang, Xu-Wei Han, Sheng-Qi Zhang, Xiu-Ling Fang, Bo-Jun Zhao
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2014-07-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://www.ies.net.cn/cn_publish/2014/7/201407021.pdf
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author Hu-Lin Jiang
Xu-Wei Han
Sheng-Qi Zhang
Xiu-Ling Fang
Bo-Jun Zhao
author_facet Hu-Lin Jiang
Xu-Wei Han
Sheng-Qi Zhang
Xiu-Ling Fang
Bo-Jun Zhao
author_sort Hu-Lin Jiang
collection DOAJ
description AIM:To evaluate the clinical efficacy of intravitreal injection of ranibizumab combined with macular grid photocoagulation for diabetic macular edema(DME).<p>METHODS:Totally 60 eyes(60 patients)with DME were randomly divided into 2 groups: 30 eyes of simple injection group underwent intravitreal injection of ranibizumab, and 30 eyes of combined treatment group underwent intravitreal injection of ranibizumab and macular grid photocoagulation 1wk later. The best corrected visual acuity(BCVA), central macular thickness(CMT)measured by optical coherence tomography(OCT)and postoperative complications were observed.<p>RESULTS:In simple injection group, the BCVA after operation were separately 0.390±0.075(4wk), 0.367±0.088(8wk)and 0.319±0.064(12wk),the CMT after operation were separately 221.63±112.34μm(4wk), 337.73±99.56μm(8wk)and 432.92±100.46μm(12wk), which were much better than pre-operation. But during follow-up, the BCVA presented down trend and the CMT was on the rise slowly. In combined treatment group, the BCVA after operation were separately 0.385±0.036(4wk), 0.382±0.079(8wk)and 0.377±0.097(12wk),the CMT after operation were separately 249.77±106.55μm(4wk), 270.40±92.88μm(8wk)and 275.84±97.34μm(12wk), which were satisfactory and steady during follow-up, better than simple injection group(<i>P</i><0.05).<p>CONCLUSION:Intravitreal injection of ranibizumab can effectively improve visual acuity and decrease central foveal thickness for patients with DME, combining with macular grid photocoagulation can ensure therapeutic effects steady and permanent.
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spelling doaj.art-067b2529da4f4265b20e9f66b2e92f322022-12-21T21:47:05ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232014-07-011471253125610.3980/j.issn.1672-5123.2014.07.21Efficacy of intravitreal ranibizumab injection combined with macular grid photocoagulation for diabetic macular edemaHu-Lin Jiang0Xu-Wei Han1Sheng-Qi Zhang2Xiu-Ling Fang3Bo-Jun Zhao4Department of Ocular Fundus Disease, Guangming Eye Hospital, Liaocheng 252052, Shandong Province, ChinaDepartment of Ocular Fundus Disease, Guangming Eye Hospital, Liaocheng 252052, Shandong Province, ChinaDepartment of Ocular Fundus Disease, Guangming Eye Hospital, Liaocheng 252052, Shandong Province, ChinaDepartment of Ocular Fundus Disease, Guangming Eye Hospital, Liaocheng 252052, Shandong Province, ChinaOphthalmic Center, Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong Province, ChinaAIM:To evaluate the clinical efficacy of intravitreal injection of ranibizumab combined with macular grid photocoagulation for diabetic macular edema(DME).<p>METHODS:Totally 60 eyes(60 patients)with DME were randomly divided into 2 groups: 30 eyes of simple injection group underwent intravitreal injection of ranibizumab, and 30 eyes of combined treatment group underwent intravitreal injection of ranibizumab and macular grid photocoagulation 1wk later. The best corrected visual acuity(BCVA), central macular thickness(CMT)measured by optical coherence tomography(OCT)and postoperative complications were observed.<p>RESULTS:In simple injection group, the BCVA after operation were separately 0.390±0.075(4wk), 0.367±0.088(8wk)and 0.319±0.064(12wk),the CMT after operation were separately 221.63±112.34μm(4wk), 337.73±99.56μm(8wk)and 432.92±100.46μm(12wk), which were much better than pre-operation. But during follow-up, the BCVA presented down trend and the CMT was on the rise slowly. In combined treatment group, the BCVA after operation were separately 0.385±0.036(4wk), 0.382±0.079(8wk)and 0.377±0.097(12wk),the CMT after operation were separately 249.77±106.55μm(4wk), 270.40±92.88μm(8wk)and 275.84±97.34μm(12wk), which were satisfactory and steady during follow-up, better than simple injection group(<i>P</i><0.05).<p>CONCLUSION:Intravitreal injection of ranibizumab can effectively improve visual acuity and decrease central foveal thickness for patients with DME, combining with macular grid photocoagulation can ensure therapeutic effects steady and permanent.http://www.ies.net.cn/cn_publish/2014/7/201407021.pdfranibizumabgrid photocoagulationdiabetic macular edemadiabetic macular edema
spellingShingle Hu-Lin Jiang
Xu-Wei Han
Sheng-Qi Zhang
Xiu-Ling Fang
Bo-Jun Zhao
Efficacy of intravitreal ranibizumab injection combined with macular grid photocoagulation for diabetic macular edema
Guoji Yanke Zazhi
ranibizumab
grid photocoagulation
diabetic macular edema
diabetic macular edema
title Efficacy of intravitreal ranibizumab injection combined with macular grid photocoagulation for diabetic macular edema
title_full Efficacy of intravitreal ranibizumab injection combined with macular grid photocoagulation for diabetic macular edema
title_fullStr Efficacy of intravitreal ranibizumab injection combined with macular grid photocoagulation for diabetic macular edema
title_full_unstemmed Efficacy of intravitreal ranibizumab injection combined with macular grid photocoagulation for diabetic macular edema
title_short Efficacy of intravitreal ranibizumab injection combined with macular grid photocoagulation for diabetic macular edema
title_sort efficacy of intravitreal ranibizumab injection combined with macular grid photocoagulation for diabetic macular edema
topic ranibizumab
grid photocoagulation
diabetic macular edema
diabetic macular edema
url http://www.ies.net.cn/cn_publish/2014/7/201407021.pdf
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