Diabetic macular edema
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients with type 1 and 2 diabetes, age > 18 years 2.Proliferative diabetic retinopathy (PDR)/Preproliferative diabetic retinopathy (PPDR) with DME 3.Visual impairment due to DME 4.Central subfield thickness(CST) > 300 microns 5.Decimal visual acuity 0.1-0.7 6.Patients who have given informed consent
Exclusion criteria
Exclusion criteria: 1.Patient with neovascularization of the optic disc (NVD) 2.Eyes requiring immediate vitrectomy for reasons such as rhegmatogenous or traction retinal detachment 3.Patient with 2 or more NVE 4.Patient with non-perfusion area detected by FA (NPA, >10 disc diameter) 5.History of vitreoretinal surgery 6.History of laser photocoagulation within 3 months before study entry 7.History of intravitreal or peribulber corticosteroids within 3 months before study entry 8.History of ocular surgery within 3 months before study entry 9.History of anti-VEGF injection 10.HbA1c >12% 11.Patient who is judged inappropriate for study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Best-corrected visual acuity (BCVA) from baseline to month 12 | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. BCVA at every visit 2. Change of CST at every visit 3. Evaluation of microaneurysm (MA) by OCT angiography at macula at every visit 4. Non perfusion area(NPA), Neovascularization elsewhere(NVE) and Neovascularization of disc(NVD) by FA at pretreatment and 12 month 5. Glycosylated hemoglobin levels (HbA1c) at every visit 6. Diabetic retinopathy severity scale (DRSS) at baseline, month 6 and 12 7. Intraocular pressure(IOP) at every visit 8. Fundus photograph at every visit | — |
Countries
Japan
Contacts
Kyorin University School of Medicine Kyorin Eye Center