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Daisuke Muramatsu, Masahiko Shimura, Shigehiko Kitano, Taiji Sakamoto; Survey of TREATment for Diabetic Macular Edema (STREAT-DME) Study: Results by treatment options from real world data in Japan. Invest. Ophthalmol. Vis. Sci. 2018;59(9):1895.
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© ARVO (1962-2015); The Authors (2016-present)
In the treatment of Diabetic Macular Edema (DME), a multicenter retrospective survey of a 2-tear treatment course in clinical practice has been conducted. Here, we report about a statistical analysis in terms of Visual Acuity (VA) from the view point of comparing the treatment option with or without anti-VEGF therapy
Based on clinical records, 1172 treatment naïve DME eyes which had been started interventional treatment from 2010 to 2014 for 2 years at 18 domestic facilities were registered. The VA, Central Retinal Thickness (CRT) and the required number of each intervention (anti-VEGF drugs, corticosteroid, macular photocoagulation (MPC), Vitrectomy) during the clinical course were extracted.
Of total 1172 eyes, 252 (21.5%) had anti-VEGF monotherapy (Group 1), 500 (42.7%) had combination therapy with anti-VEGF drugs (Group 2), and 420 (35.8%) had alternative therapy without anti-VEGF drugs (Group 3). The improvement of VA in each group was 0.12±0.35, 0.04±0.37, and 0.05±0.34, respectively. Mean required number of anti-VEGF drug injections was 4.3 times in Group 1 and 3.5 times in Group 2. In group 2 of 500 eyes, 311 eyes (62,2%) had local administration of corticosteroid, 258 eyes (50.2%) had MPC, and 172 eyes (34.4%) had vitrectomy. While in group 3 of 420 eyes, 272 eyes (64.8%) had corticosteroid, 231 eyes (55.0%) had MPC, and 150 eyes (23.8%) had vitrectomy.
From this real-world data, anti-VEGF drugs had been adopted for ≈60% of DME eyes for 2 years, and obtained better visual prognosis.
This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.
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