Diabetic Macular Edema
Conditions
Brief summary
Eligible eyes are randomized to two groups. Group A will receive three intravitreal injections of bevacizumab at 4 week intervals. In group B, three intravitreal injections of combined bevacizumab and fasudil will be performed with the same frequency. Best corrected visual acuity (BCVA) and central macular thickness (CMT) will be evaluated prior to injections and then every 4 weeks for 6 months. Fluorescein angiography will be performed at baseline and at weeks 12 and 24. The two groups will be compared in terms of BCVA and CMT changes.
Interventions
intravitreal injections of bevacizumab and fasudil are performed at two different sites (superior temporal and inferior temporal quadrants respectively)
Sponsors
Study design
Eligibility
Inclusion criteria
* Diabetic patients with diabetic macular edema (DME) and: * Central macula thickness\> 250μm * Visual acuity \< 20/40 * No active proliferative diabetic retinopathy * No history of intravitreal anti-VEGF drug injection or macular laser photocoagulation (MPC) within the past 3 months
Exclusion criteria
* History of vitrectomy * History of cataract surgery within the past 6 months * History of glaucoma or uveitis * Presence of any macular disorder other than DME * Presence of traction on the macula * Significant media opacity * Serum creatinine\>3mg/ml
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Best corrected visual acuity | 6 months | Snellen E-chart |
| central macular thickness | 6 months | spectral domain optical coherence tomography (SD OCT) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Status of macular perfusion | 6 months | Heidelberg fluorescein angiogram (HRA II) |
| intraocular inflammation | 6 months | clinical examination |
Countries
Iran