Refractory Diabetic Macular Edema
Conditions
Brief summary
after advent of RD photoreceptor degeneration Occurred. This process appears as a incredible and progressive event that will not stop till reattachment of RPE and neurosensory retina happened . Process of degeneration begins from first hours of RD establishment Neuroprotection of photoreceptor following RD is a novel and debatable discussion encountered in recent years . How to stop this phenomena and neuroprotective agent role in this issue are a new interest of researches. In the study investigators are planning to perform a clinical trial to demonstrate the minocycline neuroprotective effect in a double blind design as this impact has been implicated previously in a animal study.
Interventions
injection of bevacizumab and erythropoietin
under gone 3 intravitreal injection of bevacizumab monthly and examine monthly for Visual acuity and central macular thickness
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient with refractory diabetic macular edema at least one month after third injection
Exclusion criteria
* previous vitreoretinal surgery previous glaucoma surgery glaucomatous patient open heart surgery active proliferative diabetic retinopathy one eye patients vitreous hemorrhage
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| best corrected visual acuity | 1 month | Snellen chart |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Optical coherence tomography | 1 month | Optical coherence tomography |
Countries
Iran