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Subthreshold micropulse laser reduces anti-VEGF injection burden in patients with diabetic macular edema
Purpose: To evaluate the efficacy of micropulse laser in the early treatment of diabetic macular edema (DME) and its associated burden of anti-vascular endothelial growth factor (VEGF) injections. Methods: This retrospective comparative study compared a group of 19 eyes with DME treated with micropu...
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Published in: | European journal of ophthalmology 2018-01, Vol.28 (1), p.68-73 |
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container_end_page | 73 |
container_issue | 1 |
container_start_page | 68 |
container_title | European journal of ophthalmology |
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creator | Moisseiev, Elad Abbassi, Sam Thinda, Sumeer Yoon, Joseph Yiu, Glenn Morse, Lawrence S. |
description | Purpose:
To evaluate the efficacy of micropulse laser in the early treatment of diabetic macular edema (DME) and its associated burden of anti-vascular endothelial growth factor (VEGF) injections.
Methods:
This retrospective comparative study compared a group of 19 eyes with DME treated with micropulse laser to a matched control group of 19 eyes with DME treated with ranibizumab injections without micropulse laser. Recorded parameters included previous medical and ocular history, previous and subsequent ranibizumab injections administered for DME, visual acuity (VA), central macular thickness throughout the follow-up period, and the occurrence of any complications.
Results:
The improvement in VA was comparable in both groups, at 12 months and at the final follow-up. Patients treated with micropulse laser required significantly fewer ranibizumab injections than their controls, both at 12 months (1.7 ± 2.3 vs 5.6 ± 2.1) and by the end of the follow-up (2.6 ± 3.3 vs 9.3 ± 5.1) (p |
doi_str_mv | 10.5301/ejo.5001000 |
format | article |
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To evaluate the efficacy of micropulse laser in the early treatment of diabetic macular edema (DME) and its associated burden of anti-vascular endothelial growth factor (VEGF) injections.
Methods:
This retrospective comparative study compared a group of 19 eyes with DME treated with micropulse laser to a matched control group of 19 eyes with DME treated with ranibizumab injections without micropulse laser. Recorded parameters included previous medical and ocular history, previous and subsequent ranibizumab injections administered for DME, visual acuity (VA), central macular thickness throughout the follow-up period, and the occurrence of any complications.
Results:
The improvement in VA was comparable in both groups, at 12 months and at the final follow-up. Patients treated with micropulse laser required significantly fewer ranibizumab injections than their controls, both at 12 months (1.7 ± 2.3 vs 5.6 ± 2.1) and by the end of the follow-up (2.6 ± 3.3 vs 9.3 ± 5.1) (p<0.001 for both). No complications related to the micropulse laser were encountered.
Conclusions:
Micropulse laser is a safe and effective treatment for DME, which may achieve comparable improvement in VA along with a significant reduction in the burden of anti-VEGF injections. We suggest a treatment approach for its inclusion in the early stages of DME.</description><identifier>ISSN: 1120-6721</identifier><identifier>EISSN: 1724-6016</identifier><identifier>DOI: 10.5301/ejo.5001000</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><ispartof>European journal of ophthalmology, 2018-01, Vol.28 (1), p.68-73</ispartof><rights>The Author(s) 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c322t-24f89a7af7cba7ebecb7a65fb8d033d00c7d934f4ec6208e245c015a4a9421833</citedby><cites>FETCH-LOGICAL-c322t-24f89a7af7cba7ebecb7a65fb8d033d00c7d934f4ec6208e245c015a4a9421833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27898,27899</link.rule.ids></links><search><creatorcontrib>Moisseiev, Elad</creatorcontrib><creatorcontrib>Abbassi, Sam</creatorcontrib><creatorcontrib>Thinda, Sumeer</creatorcontrib><creatorcontrib>Yoon, Joseph</creatorcontrib><creatorcontrib>Yiu, Glenn</creatorcontrib><creatorcontrib>Morse, Lawrence S.</creatorcontrib><title>Subthreshold micropulse laser reduces anti-VEGF injection burden in patients with diabetic macular edema</title><title>European journal of ophthalmology</title><description>Purpose:
To evaluate the efficacy of micropulse laser in the early treatment of diabetic macular edema (DME) and its associated burden of anti-vascular endothelial growth factor (VEGF) injections.
Methods:
This retrospective comparative study compared a group of 19 eyes with DME treated with micropulse laser to a matched control group of 19 eyes with DME treated with ranibizumab injections without micropulse laser. Recorded parameters included previous medical and ocular history, previous and subsequent ranibizumab injections administered for DME, visual acuity (VA), central macular thickness throughout the follow-up period, and the occurrence of any complications.
Results:
The improvement in VA was comparable in both groups, at 12 months and at the final follow-up. Patients treated with micropulse laser required significantly fewer ranibizumab injections than their controls, both at 12 months (1.7 ± 2.3 vs 5.6 ± 2.1) and by the end of the follow-up (2.6 ± 3.3 vs 9.3 ± 5.1) (p<0.001 for both). No complications related to the micropulse laser were encountered.
Conclusions:
Micropulse laser is a safe and effective treatment for DME, which may achieve comparable improvement in VA along with a significant reduction in the burden of anti-VEGF injections. We suggest a treatment approach for its inclusion in the early stages of DME.</description><issn>1120-6721</issn><issn>1724-6016</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNptkE1LAzEQhoMoWKsn_0COgmydJPvVo5S2CgUPflyX2WTWzbIfJcki_nsj9uhphuHhZd6HsVsBq0yBeKBuWmUAAgDO2EIUMk1yEPl53IWEJC-kuGRX3ncAEtapXLD2da5D68i3U2_4YLWbjnPviffoyXFHZtbkOY7BJh_b_Y7bsSMd7DTyenaGxnjgRwyWxuD5lw0tNxZrClbzAfXco-NkaMBrdtFgDL45zSV7323fNk_J4WX_vHk8JFpJGRKZNuUaC2wKXWNBNem6wDxr6tKAUgZAF2at0iYlnUsoSaaZBpFhirGOKJVasvu_3NjEe0dNdXR2QPddCah-JVVRUnWSFOm7P9rjJ1XdNLsxPvcv-gMka2jt</recordid><startdate>20180101</startdate><enddate>20180101</enddate><creator>Moisseiev, Elad</creator><creator>Abbassi, Sam</creator><creator>Thinda, Sumeer</creator><creator>Yoon, Joseph</creator><creator>Yiu, Glenn</creator><creator>Morse, Lawrence S.</creator><general>SAGE Publications</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>20180101</creationdate><title>Subthreshold micropulse laser reduces anti-VEGF injection burden in patients with diabetic macular edema</title><author>Moisseiev, Elad ; Abbassi, Sam ; Thinda, Sumeer ; Yoon, Joseph ; Yiu, Glenn ; Morse, Lawrence S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c322t-24f89a7af7cba7ebecb7a65fb8d033d00c7d934f4ec6208e245c015a4a9421833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moisseiev, Elad</creatorcontrib><creatorcontrib>Abbassi, Sam</creatorcontrib><creatorcontrib>Thinda, Sumeer</creatorcontrib><creatorcontrib>Yoon, Joseph</creatorcontrib><creatorcontrib>Yiu, Glenn</creatorcontrib><creatorcontrib>Morse, Lawrence S.</creatorcontrib><collection>CrossRef</collection><jtitle>European journal of ophthalmology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moisseiev, Elad</au><au>Abbassi, Sam</au><au>Thinda, Sumeer</au><au>Yoon, Joseph</au><au>Yiu, Glenn</au><au>Morse, Lawrence S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Subthreshold micropulse laser reduces anti-VEGF injection burden in patients with diabetic macular edema</atitle><jtitle>European journal of ophthalmology</jtitle><date>2018-01-01</date><risdate>2018</risdate><volume>28</volume><issue>1</issue><spage>68</spage><epage>73</epage><pages>68-73</pages><issn>1120-6721</issn><eissn>1724-6016</eissn><abstract>Purpose:
To evaluate the efficacy of micropulse laser in the early treatment of diabetic macular edema (DME) and its associated burden of anti-vascular endothelial growth factor (VEGF) injections.
Methods:
This retrospective comparative study compared a group of 19 eyes with DME treated with micropulse laser to a matched control group of 19 eyes with DME treated with ranibizumab injections without micropulse laser. Recorded parameters included previous medical and ocular history, previous and subsequent ranibizumab injections administered for DME, visual acuity (VA), central macular thickness throughout the follow-up period, and the occurrence of any complications.
Results:
The improvement in VA was comparable in both groups, at 12 months and at the final follow-up. Patients treated with micropulse laser required significantly fewer ranibizumab injections than their controls, both at 12 months (1.7 ± 2.3 vs 5.6 ± 2.1) and by the end of the follow-up (2.6 ± 3.3 vs 9.3 ± 5.1) (p<0.001 for both). No complications related to the micropulse laser were encountered.
Conclusions:
Micropulse laser is a safe and effective treatment for DME, which may achieve comparable improvement in VA along with a significant reduction in the burden of anti-VEGF injections. We suggest a treatment approach for its inclusion in the early stages of DME.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><doi>10.5301/ejo.5001000</doi><tpages>6</tpages></addata></record> |
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title | Subthreshold micropulse laser reduces anti-VEGF injection burden in patients with diabetic macular edema |
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