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Ibraheem El-Ghrably; The outcome of chronic diabetic macular oedema in patients treated with intravitreal Fluocinolone acetonide (Iluvien). Invest. Ophthalmol. Vis. Sci. 2016;57(12):3272.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the efficacy and safety of Fluocinolone acetonide (Iluvien) implant in the treatment of patients with chronic DMO
Multicentre study of consecutive patients treated with Fluocinolone acetonide (Iluvien) for chronic DMO in 3 large UK Ophthalmic centres. Standardised information on all patients was prospectively collected using a jointly agreed database. Patients were seen 2-4 weeks post injection and then at 3, 6 and 12 months. The primary efficacy outcome measure was the change in central macular thickness (CMT) from base line measured by OCT.
Fifty seven (57) patients were included. The mean age of patients was 62 years. The mean duration of diabetic macular oedema was 30.9 months. 25 of the patients had previous vitrectomy. The mean number of the previous anti-VEGF injections was 4.8. Out of the 57 patients included, 45 completed 3 months follow up, 34 completed 6 months and 22 patients completed one year follow-up. The mean change from base line CMT (452 µm) was -102 µm at month 3, -125 µm at month 6 and -126 at month 12.The mean increase in best-corrected visual acuity from base line (52.7 ETDRS letters) was 6.0 letters at month 3, 6.7 letters at month 6 and 5.1 letters at month 12.Five (5) patients needed intraocular pressure medications at month 3 and remained the same at month 6 and month 12. None needed glaucoma surgery. Two (2) patients with previous vitrectomy and a defect in the posterior capsule had a migrated Iluvien implant into the anterior chamber and both were retrieved using a 23g flute needle cannula and re inserted back to the vitreous cavity.
Treatment of DMO with Fluocinolone (Iluvien) led to anatomical and visual acuity improvement with an acceptable safety profile.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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