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Leonardo Pinheiro Teixeira, Eduardo Dalia, Luana Campos, Mayara Martins Abrahao, Joao J Nassaralla; Efficacy of Ranibizumab Therapy with Aflibercept in Patients with Diabetic Macular Edema. Invest. Ophthalmol. Vis. Sci. 2016;57(12):5041. doi: https://doi.org/.
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© ARVO (1962-2015); The Authors (2016-present)
Compare the efficacy of treatment of diabetic macular edema (DME) using Ranibizumab (Lucenti®), Aflibercept (Eylea®) and Aflibercept (Eylea®) plus Ranibizumab (Lucentis®)
Interventions were performed with intravitreal injections in patients with formal indications of diabetic macular edema treatment previously evaluated with complete eye exam at ‘Instituto de Olhos de Goiânia’ from October 2015 to May 2016. The patients were divided into four groups:- In the first group were made 3 Intravitreal applications of Ranibizumab 0.1ml, with one application per month and monitoring with Optical Coherence Tomography on days 1, 3, 5, 10 and 30 subsequent to application.- In the second group were performed 3 intravitreal applications of Aflibercept 0.1 ml, with one application per month followed by monitoring with Optical Coherence Tomography on days 1, 3, 5, 10 and 30 subsequent.- In the third group were realized 2 applications of Ranibizumab 0.1 ml interspersed with one application of Aflibercept 0.1 ml in the second month and subsequent evaluation with Optical Coherence Tomography on days 1, 3, 5, 10 and 30.- In the fourth group were made 2 applications of Aflibercept 0,1 ml interspersed with one application of Ranibizumab 0.1 ml in the second month and subsequent evaluation with Optical Coherence Tomography on days 1, 3, 5, 10 and 30.
It was observed a significant reduction of diabetic macular edema in all groups, and this occurred mainly in the early days of application and the first two doses. The group treated with aflibercept isolated and the group treated with ranibizumab isolated had similarity in reducing macular edema, while the groups treated with interspersed doses were similar and had a better efficacy compared the effectiveness of two other groups mentioned.
The treatment of diabetic macular edema interspersed with doses of different substances used for the same purpose have had a better efficacy than treatment with these substances isolated.
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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