Refractive changes after intravitreal ranibizumab injections for diabetic macular oedema

2017 ◽  
Vol 101 (3) ◽  
pp. 397-399
Author(s):  
Irini Chatziralli ◽  
Athanasios Chatzipantelis ◽  
Eleni Dimitriou ◽  
Evgenia Mpourouki ◽  
George Theodossiadis ◽  
...  
2019 ◽  
Vol 4 (1) ◽  
pp. e000335
Author(s):  
Lawrence Morse ◽  
Linda Yau ◽  
Lisa Tuomi

ObjectiveTo determine the time to first clinically meaningful improvement in best-corrected visual acuity (BCVA) in patients treated with ranibizumab for diabetic macular oedema (DME) and identify predictors of early visual improvement.Methods and analysisWe retrospectively analysed the phase III RIDE (NCT00473382) and RISE (NCT00473330) trials, in which 759 patients with DME were randomised to monthly intravitreal ranibizumab 0.3 mg (n=250), ranibizumab 0.5 mg (n=252) or sham treatment (n=257). After month 24, 191 sham-treated patients crossed over to monthly ranibizumab 0.5 mg through month 36, while ranibizumab-treated patients continued treatment. Kaplan-Meier analyses assessed time to achieve ≥15 or ≥10 Early Treatment Diabetic Retinopathy Study (ETDRS) letter gains from baseline or ≥20/40 Snellen equivalent BCVA in each treatment arm. Baseline predictors of ≥15 ETDRS letter gains at month 6 were identified by logistic regression.ResultsMedian time to first ≥15 ETDRS letter gain was significantly shorter in patients who received ranibizumab (0.3 mg, 11.1 months; 0.5 mg, 10.9 months) than sham-treated patients who crossed over to ranibizumab 0.5 mg at month 24 (35.7 months; both p<0.0001). Half of ranibizumab-treated patients achieved ≥20/40 BCVA within 2.3 (0.3 mg) and 1.9 months (0.5 mg). Baseline predictors of early vision improvement among ranibizumab-treated patients were BCVA ≤55 ETDRS letters, younger age and presence of subretinal fluid.ConclusionPrompt ranibizumab therapy for DME was associated with rapid, clinically meaningful vision gains that were maintained over 36 months of treatment. Lower BCVA, younger age and presence of subretinal fluid were predictive of early vision improvement.


2016 ◽  
Vol 95 (1) ◽  
pp. 28-32 ◽  
Author(s):  
Caroline Schmidt Laugesen ◽  
Christoffer Ostri ◽  
Troels Brynskov ◽  
Henrik Lund-Andersen ◽  
Michael Larsen ◽  
...  

Eye ◽  
2017 ◽  
Vol 31 (9) ◽  
pp. 1358-1364 ◽  
Author(s):  
L Nicholson ◽  
N V Patrao ◽  
J Ramu ◽  
C Vazquez-Alfageme ◽  
M Muwas ◽  
...  

Eye ◽  
2020 ◽  
Author(s):  
Ana Rita Santos ◽  
Miguel Raimundo ◽  
Dalila Alves ◽  
Marta Lopes ◽  
Sérgio Pestana ◽  
...  

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

2016 ◽  
Vol 95 (4) ◽  
pp. e340-e341 ◽  
Author(s):  
Tomoyasu Shiraya ◽  
Satoshi Kato ◽  
Fumiyuki Araki ◽  
Takashi Ueta

2015 ◽  
Vol 94 (5) ◽  
pp. e356-e360 ◽  
Author(s):  
Margaux Guillard ◽  
Bénédicte Dupas ◽  
Mohamed El Sanharawi ◽  
Ali Erginay ◽  
Ramin Tadayoni ◽  
...  

2012 ◽  
Vol 91 (3) ◽  
pp. e243-e244 ◽  
Author(s):  
Troels Brynskov ◽  
Caroline Schmidt Laugesen ◽  
Torben Lykke Sørensen

2015 ◽  
Vol 09 (01) ◽  
pp. 32 ◽  
Author(s):  
Francesco Bandello ◽  
Maria Vittoria Cicinelli ◽  
Maurizio Battaglia Parodi ◽  
◽  
◽  
...  

Diabetic macular oedema (DMO) is the most frequent cause of vision loss in patients affected by diabetes mellitus, and has a remarkable effect on public health. The treatment with focal/grid laser photocoagulation was considered in the past decades as the standard of care, but the recent advent of new pharmacological approaches, based on the use of intravitreal anti-vascular endothelial growth factor (anti-VEGF), has completely revolutionised the management of DMO. The most important molecule of this class of drugs is represented by ranibizumab, which has been clinically supported by several randomised clinical trials. The present review aims at providing a comprehensive summary of the most important investigations regarding the ranibizumab treatment of DMO.


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