Disorganization of retinal inner layers as a biomarker in patients with diabetic macular oedema treated with dexamethasone implant

2019 ◽  
Vol 98 (2) ◽  
Author(s):  
Dinah Zur ◽  
Matias Iglicki ◽  
Anna Sala‐Puigdollers ◽  
Jay Chhablani ◽  
Marco Lupidi ◽  
...  
2021 ◽  
pp. 112067212110528
Author(s):  
Laurent Kodjikian ◽  
Stephanie Baillif ◽  
Aude Couturier ◽  
Catherine Creuzot-Garcher ◽  
Marie-Noelle Delyfer ◽  
...  

Purpose The intravitreal dexamethasone implant (DEX-I) is an alternative to anti-VEGF for the first-line treatment of diabetic macular oedema (DME). However, several questions remain regarding its routine use and its place in certain situations not always specified in current recommendations. A national consensus approach was, therefore, initiated by French retinal experts. Methods An iterative Delphi consensus approach was used. A steering committee (SC) of seven experts analysed data from the literature to formulate statements divided into five key areas of treatment. These statements were submitted to the independent and anonymous electronic vote of 87 French retina experts among whom 39 expressed their opinion and therefore constituted the voting panel. Results After two rounds of voting, 22 and 7 of 38 statements received a strong consensus and a good consensus, respectively. The consensus level was higher for statements regarding first-line indications and safety of DEX-I compared to those regarding efficacy assessment, reprocessing time or pathophysiological biomarkers. The panellists recommended the preferential use of DEX-I for patients with limited availability for multiple injections, those who needed to undergo cataract surgery or who had a recent cardiovascular history, and as a therapeutic alternative to anti-VEGF in patients with a history of vitrectomy, retinal serous detachment, hyper-reflective points or dry exudates in optical coherence tomography (OCT). However, some statements proposed by SC experts were not validated. Conclusion This study provides some key recommendations to clinicians treating diabetic macular oedema, which may be useful when using intravitreal dexamethasone implants in daily practice.


Eye ◽  
2018 ◽  
Vol 33 (3) ◽  
pp. 411-418 ◽  
Author(s):  
George G. Bastakis ◽  
Dimitris Dimopoulos ◽  
Anastasios Stavrakakis ◽  
George Pappas

2019 ◽  
Vol Volume 13 ◽  
pp. 2583-2590
Author(s):  
Tommi Karttunen ◽  
Lasse Nummelin ◽  
Kai Kaarniranta ◽  
Kati Kinnunen

2018 ◽  
Vol 47 (2) ◽  
pp. 287-289 ◽  
Author(s):  
Aaron W. Joe ◽  
Sanjeewa S. Wickremasinghe ◽  
Mark C. Gillies ◽  
Vuong Nguyen ◽  
Lyndell L. Lim ◽  
...  

Eye ◽  
2021 ◽  
Author(s):  
Mariacristina Parravano ◽  
Serena Fragiotta ◽  
Eliana Costanzo ◽  
Daniela Giannini ◽  
Daniele De Geronimo ◽  
...  

2017 ◽  
Vol 101 (10) ◽  
pp. 1329-1333 ◽  
Author(s):  
Sanjeewa S Wickremasinghe ◽  
Samantha Fraser-Bell ◽  
Elizabeth Alessandrello ◽  
Hemal Mehta ◽  
Mark C Gillies ◽  
...  

2019 ◽  
Vol 98 (4) ◽  
Author(s):  
Dominika Podkowinski ◽  
Eva Orlowski‐Wimmer ◽  
Gerhard Zlabinger ◽  
Andreas Pollreisz ◽  
Anna‐Sophie Mursch‐Edlmayr ◽  
...  

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