EFFECT OF INTRAVITREAL BEVACIZUMAB IN COMBINATION WITH POSTERIOR SUB-TENON TRIAMCINOLONE ON DIFFERENT LEVELS OF DIABETIC MACULAR EDEMA

Objective: To compare the efficacy of Intravitreal Bevacizumab in combination with Posterior Subtenon Triamcinolone for treatment of different levels of diabetic macular edema. Study Design: Comparative cross sectional study. Place and Duration of Study: This study was done in Retina Clinic, A...

Full description

Bibliographic Details
Main Authors: Rubab Shafqat, Muhammad Kashif Habib, Sara Najeeb, Muhammad Usman Sadiq, Aziz Jan Bashir, Muhammad Irfan Sadiq
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2020-06-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/4607/2714
_version_ 1819012118117089280
author Rubab Shafqat
Muhammad Kashif Habib
Sara Najeeb
Muhammad Usman Sadiq
Aziz Jan Bashir
Muhammad Irfan Sadiq
author_facet Rubab Shafqat
Muhammad Kashif Habib
Sara Najeeb
Muhammad Usman Sadiq
Aziz Jan Bashir
Muhammad Irfan Sadiq
author_sort Rubab Shafqat
collection DOAJ
description Objective: To compare the efficacy of Intravitreal Bevacizumab in combination with Posterior Subtenon Triamcinolone for treatment of different levels of diabetic macular edema. Study Design: Comparative cross sectional study. Place and Duration of Study: This study was done in Retina Clinic, Al Shifa Trust Eye Hospital, Rawalpindi, from Jul 2017 to Dec 2017. Methodology: Total of fifty-two patients were included in the study which were divided into two groups on the basis of foveal thickness (group 1 = Foveal Thickness <500μm, group 2 = Foveal Thickness >500μm). Results: Both groups were treated with combination of Intra-vitreal Avastin and Posterior Subtenon Triamcinolone. The percentage decrease in foveal thickness after 6 weeks of injection in group 1 was 30.08 ± 13.035% as compared to 38.88 ± 8.883% in group 2 (p=0.006). While the improvement in BCVA in both groups after 6 weeks of injection was same (0.2 ± 0.2 in Log MAR) (p=0.521). Conclusion: It is concluded that the use of Intravitreal Bevacizumab in combination with posterior subtenon triamcinolone for treatment of macular edema is more effective in foveal thickness >500μm as compared to thickness <500μm.
first_indexed 2024-12-21T01:38:58Z
format Article
id doaj.art-d4143f80225a435bb91228c230b7a6cb
institution Directory Open Access Journal
issn 0030-9648
2411-8842
language English
last_indexed 2024-12-21T01:38:58Z
publishDate 2020-06-01
publisher Army Medical College Rawalpindi
record_format Article
series Pakistan Armed Forces Medical Journal
spelling doaj.art-d4143f80225a435bb91228c230b7a6cb2022-12-21T19:20:13ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422020-06-01703705710EFFECT OF INTRAVITREAL BEVACIZUMAB IN COMBINATION WITH POSTERIOR SUB-TENON TRIAMCINOLONE ON DIFFERENT LEVELS OF DIABETIC MACULAR EDEMARubab Shafqat0Muhammad Kashif Habib1Sara Najeeb2Muhammad Usman Sadiq3Aziz Jan Bashir4Muhammad Irfan Sadiq5Al Shifa Eye Hospital, Rawalpindi PakistanAl Shifa Eye Hospital, Rawalpindi PakistanMohi-Ud-Din Islamic Medical College, Mirpur PakistanMohi-Ud-Din Islamic Medical College, Mirpur PakistanAl Shifa Eye Hospital, Rawalpindi PakistanM. Islam Medical & Dental College, Gujranwala PakistanObjective: To compare the efficacy of Intravitreal Bevacizumab in combination with Posterior Subtenon Triamcinolone for treatment of different levels of diabetic macular edema. Study Design: Comparative cross sectional study. Place and Duration of Study: This study was done in Retina Clinic, Al Shifa Trust Eye Hospital, Rawalpindi, from Jul 2017 to Dec 2017. Methodology: Total of fifty-two patients were included in the study which were divided into two groups on the basis of foveal thickness (group 1 = Foveal Thickness <500μm, group 2 = Foveal Thickness >500μm). Results: Both groups were treated with combination of Intra-vitreal Avastin and Posterior Subtenon Triamcinolone. The percentage decrease in foveal thickness after 6 weeks of injection in group 1 was 30.08 ± 13.035% as compared to 38.88 ± 8.883% in group 2 (p=0.006). While the improvement in BCVA in both groups after 6 weeks of injection was same (0.2 ± 0.2 in Log MAR) (p=0.521). Conclusion: It is concluded that the use of Intravitreal Bevacizumab in combination with posterior subtenon triamcinolone for treatment of macular edema is more effective in foveal thickness >500μm as compared to thickness <500μm.https://www.pafmj.org/index.php/PAFMJ/article/view/4607/2714bevacizumabmacular edemaoptical coherence tomopraphytriamcinolone acetonide
spellingShingle Rubab Shafqat
Muhammad Kashif Habib
Sara Najeeb
Muhammad Usman Sadiq
Aziz Jan Bashir
Muhammad Irfan Sadiq
EFFECT OF INTRAVITREAL BEVACIZUMAB IN COMBINATION WITH POSTERIOR SUB-TENON TRIAMCINOLONE ON DIFFERENT LEVELS OF DIABETIC MACULAR EDEMA
Pakistan Armed Forces Medical Journal
bevacizumab
macular edema
optical coherence tomopraphy
triamcinolone acetonide
title EFFECT OF INTRAVITREAL BEVACIZUMAB IN COMBINATION WITH POSTERIOR SUB-TENON TRIAMCINOLONE ON DIFFERENT LEVELS OF DIABETIC MACULAR EDEMA
title_full EFFECT OF INTRAVITREAL BEVACIZUMAB IN COMBINATION WITH POSTERIOR SUB-TENON TRIAMCINOLONE ON DIFFERENT LEVELS OF DIABETIC MACULAR EDEMA
title_fullStr EFFECT OF INTRAVITREAL BEVACIZUMAB IN COMBINATION WITH POSTERIOR SUB-TENON TRIAMCINOLONE ON DIFFERENT LEVELS OF DIABETIC MACULAR EDEMA
title_full_unstemmed EFFECT OF INTRAVITREAL BEVACIZUMAB IN COMBINATION WITH POSTERIOR SUB-TENON TRIAMCINOLONE ON DIFFERENT LEVELS OF DIABETIC MACULAR EDEMA
title_short EFFECT OF INTRAVITREAL BEVACIZUMAB IN COMBINATION WITH POSTERIOR SUB-TENON TRIAMCINOLONE ON DIFFERENT LEVELS OF DIABETIC MACULAR EDEMA
title_sort effect of intravitreal bevacizumab in combination with posterior sub tenon triamcinolone on different levels of diabetic macular edema
topic bevacizumab
macular edema
optical coherence tomopraphy
triamcinolone acetonide
url https://www.pafmj.org/index.php/PAFMJ/article/view/4607/2714
work_keys_str_mv AT rubabshafqat effectofintravitrealbevacizumabincombinationwithposteriorsubtenontriamcinoloneondifferentlevelsofdiabeticmacularedema
AT muhammadkashifhabib effectofintravitrealbevacizumabincombinationwithposteriorsubtenontriamcinoloneondifferentlevelsofdiabeticmacularedema
AT saranajeeb effectofintravitrealbevacizumabincombinationwithposteriorsubtenontriamcinoloneondifferentlevelsofdiabeticmacularedema
AT muhammadusmansadiq effectofintravitrealbevacizumabincombinationwithposteriorsubtenontriamcinoloneondifferentlevelsofdiabeticmacularedema
AT azizjanbashir effectofintravitrealbevacizumabincombinationwithposteriorsubtenontriamcinoloneondifferentlevelsofdiabeticmacularedema
AT muhammadirfansadiq effectofintravitrealbevacizumabincombinationwithposteriorsubtenontriamcinoloneondifferentlevelsofdiabeticmacularedema