Factors Affecting a Short-Term Response to Anti-VEGF Therapy in Diabetic Macular Edema
Diabetic macular edema (DME) is a common cause of visual impairment in patients with diabetes. Although intravitreal anti-vascular endothelial growth factor (VEGF) injections were efficacious in clinical trials, several patients exhibited a poor response. This study aimed to compare clinical feature...
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doaj-f7f9a5867a79426a83acbc2c1e7a02172021-01-26T00:00:23ZengMDPI AGLife2075-17292021-01-0111838310.3390/life11020083Factors Affecting a Short-Term Response to Anti-VEGF Therapy in Diabetic Macular EdemaAyumi Usui-Ouchi0Asaka Tamaki1Yoshihito Sakanishi2Kazunori Tamaki3Keitaro Mashimo4Toshiro Sakuma5Nobuyuki Ebihara6Department of Ophthalmology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba 279-0021, JapanDepartment of Ophthalmology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba 279-0021, JapanDepartment of Ophthalmology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba 279-0021, JapanDepartment of Ophthalmology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba 279-0021, JapanDepartment of Ophthalmology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba 279-0021, JapanDepartment of Ophthalmology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba 279-0021, JapanDepartment of Ophthalmology, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu, Chiba 279-0021, JapanDiabetic macular edema (DME) is a common cause of visual impairment in patients with diabetes. Although intravitreal anti-vascular endothelial growth factor (VEGF) injections were efficacious in clinical trials, several patients exhibited a poor response. This study aimed to compare clinical features between patients who were susceptible to intravitreal anti-VEGF injections for DME and those who were not. A single-center, retrospective study of 102 such patients was conducted (123 eyes; mean ± standard deviation age, 63.4 ± 10.8 years; 57.8% males). Systemic and ocular data, assessed at baseline and after a month, were compared between good (>20% decrease in central macular thickness (CMT)) and poor (≤20% decrease in CMT) responders using the Mann–Whitney U test/Fisher’s exact test. Eighty-one eyes (65.9%) were good responders. The glycosylated hemoglobin level was higher (<i>p</i> = 0.011) in poor (7.5% ± 0.94%) than in good (7.04% ± 1.19%) responders. The foveal avascular zone was larger (<i>p</i> = 0.0003) in poor (0.67 ± 0.33 μm<sup>2</sup>) than in good (0.47 ± 0.23 μm<sup>2</sup>) responders. The number of microaneurysms in the pericapillary network was higher (<i>p</i> = 0.0007) in poor (2.7 ± 2.2) than in good (1.4 ± 2.0) responders. Baseline glycemic control and macular ischemia may be associated with the short-term response to intravitreal anti-VEGF injections.https://www.mdpi.com/2075-1729/11/2/83diabetic macular edemaranibizumabafliberceptanatomical responseoptical coherence tomographyfluorescein angiography |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ayumi Usui-Ouchi Asaka Tamaki Yoshihito Sakanishi Kazunori Tamaki Keitaro Mashimo Toshiro Sakuma Nobuyuki Ebihara |
spellingShingle |
Ayumi Usui-Ouchi Asaka Tamaki Yoshihito Sakanishi Kazunori Tamaki Keitaro Mashimo Toshiro Sakuma Nobuyuki Ebihara Factors Affecting a Short-Term Response to Anti-VEGF Therapy in Diabetic Macular Edema Life diabetic macular edema ranibizumab aflibercept anatomical response optical coherence tomography fluorescein angiography |
author_facet |
Ayumi Usui-Ouchi Asaka Tamaki Yoshihito Sakanishi Kazunori Tamaki Keitaro Mashimo Toshiro Sakuma Nobuyuki Ebihara |
author_sort |
Ayumi Usui-Ouchi |
title |
Factors Affecting a Short-Term Response to Anti-VEGF Therapy in Diabetic Macular Edema |
title_short |
Factors Affecting a Short-Term Response to Anti-VEGF Therapy in Diabetic Macular Edema |
title_full |
Factors Affecting a Short-Term Response to Anti-VEGF Therapy in Diabetic Macular Edema |
title_fullStr |
Factors Affecting a Short-Term Response to Anti-VEGF Therapy in Diabetic Macular Edema |
title_full_unstemmed |
Factors Affecting a Short-Term Response to Anti-VEGF Therapy in Diabetic Macular Edema |
title_sort |
factors affecting a short-term response to anti-vegf therapy in diabetic macular edema |
publisher |
MDPI AG |
series |
Life |
issn |
2075-1729 |
publishDate |
2021-01-01 |
description |
Diabetic macular edema (DME) is a common cause of visual impairment in patients with diabetes. Although intravitreal anti-vascular endothelial growth factor (VEGF) injections were efficacious in clinical trials, several patients exhibited a poor response. This study aimed to compare clinical features between patients who were susceptible to intravitreal anti-VEGF injections for DME and those who were not. A single-center, retrospective study of 102 such patients was conducted (123 eyes; mean ± standard deviation age, 63.4 ± 10.8 years; 57.8% males). Systemic and ocular data, assessed at baseline and after a month, were compared between good (>20% decrease in central macular thickness (CMT)) and poor (≤20% decrease in CMT) responders using the Mann–Whitney U test/Fisher’s exact test. Eighty-one eyes (65.9%) were good responders. The glycosylated hemoglobin level was higher (<i>p</i> = 0.011) in poor (7.5% ± 0.94%) than in good (7.04% ± 1.19%) responders. The foveal avascular zone was larger (<i>p</i> = 0.0003) in poor (0.67 ± 0.33 μm<sup>2</sup>) than in good (0.47 ± 0.23 μm<sup>2</sup>) responders. The number of microaneurysms in the pericapillary network was higher (<i>p</i> = 0.0007) in poor (2.7 ± 2.2) than in good (1.4 ± 2.0) responders. Baseline glycemic control and macular ischemia may be associated with the short-term response to intravitreal anti-VEGF injections. |
topic |
diabetic macular edema ranibizumab aflibercept anatomical response optical coherence tomography fluorescein angiography |
url |
https://www.mdpi.com/2075-1729/11/2/83 |
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