Diabetic Macular Edema
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age: 18 years or older with confirmed diagnosis of diabetes mellitus (type 1 or 2). 2. DME Diagnosis: Meets international diagnostic criteria for diabetic macular edema (DME), with central macular thickness (CMT) =300 µm (measured by optical coherence tomography, OCT). 3. Imaging Findings: Swept-source OCT (SS-OCT) reveals DME features such as retinal thickening, cystoid edema, or hard exudates; or OCT angiography (OCTA) demonstrates capillary dropout, microaneurysms, or retinal non-perfusion areas. 4. Treatment Requirement: Requires anti-VEGF therapy (Conbercept) and agrees to the 3+PRN regimen (3 initial monthly injections followed by pro re nata treatment). 5. Visual Acuity Range: Best-corrected visual acuity (BCVA) between 0.05 and 0.5. 6. Good Systemic Condition: Able to complete a 2-year follow-up with good compliance. 7. Informed Consent: Patients or legal guardians fully understand the study protocol and have signed the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Coexisting ocular diseases: Including severe diabetic retinopathy, prior vitrectomy, or other ocular conditions affecting macular structure and active ocular inflammation (e.g., retinal vein occlusion, uveitis). 2. Systemic comorbidities: Patients with severe systemic diseases that may compromise study participation and follow-up, such as myocardial infarction or stroke within the past 6 months, HIV infection, active tuberculosis. 3. Imaging quality limitations: Conditions preventing acquisition of clear imaging (e.g., dense cataracts, nystagmus). 4. Compliance concerns: Inability to comply with long-term follow-up or unwillingness to accept 3+PRN anti-VEGF treatment regimen.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Predictive Accuracy of Visual Acuity Improvement;Predictive Accuracy of Central Macular Thickness (CMT) Changes; | — |
Secondary
| Measure | Time frame |
|---|---|
| Predictive Accuracy of Anti-VEGF Response;Predictive Accuracy of Fluid Accumulation (IRF/SRF); | — |
Countries
China
Contacts
Bejing Tongren Hospital, Capital Medical Uniersity