Skip to main content
Erschienen in: International Ophthalmology 6/2021

27.03.2021 | Original Paper

Retrospective study of aflibercept in combination therapy for high-risk proliferative diabetic retinopathy and diabetic maculopathy

verfasst von: Yuan Tao, Pengfei Jiang, Ying Zhao, Lihua Song, Yuntao Ma, Yixiao Li, Hong Wang

Erschienen in: International Ophthalmology | Ausgabe 6/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To evaluate whether anti-vascular endothelial growth factor (VEGF) therapy combined with panretinal photocoagulation could reverse diabetic retinopathy (DR).

Method

Fifty-two patients (72 eyes) with high-risk proliferative DR who were diagnosed and treated from June 2018 to May 2019 were divided into the laser group (16 cases, 32 eyes) and combination group (36 cases, 40 eyes) according to a review of the medical records.

Results

Within-group comparison: There were no significant differences in best-corrected visual acuity (BCVA), central foveal thickness (CFT), and microaneurysms in the laser group before and after treatment, but there were statistically significant improvements in the combination group. After the treatment, the BCVA of the patients in the combination group was 0.44 ± 0.17, which was significantly better than 0.70 ± 0.18 before treatment; the CFT after treatment was 266.51 ± 33.28 μm, which was significantly lower than 382.37 ± 54.03 μm at baseline; the MA after treatment was 56.12 ± 23.29, which was significantly lower than 121.44 ± 40.35. There was a statistically significant decrease in hard exudates area in both two groups before and after treatment. Comparison between groups: The difference in BCVA, CFT, MA and between the two groups was statistically significant (all P < 0.05), and the area of retinal neovascularization between the two groups was no significant difference, but decreased more rapidly in the combination group than that in the laser group.

Conclusion

Using intravitreal injection of anti-VEGF drugs combined with panretinal photocoagulation to treat DR might morphologically and functionally reverse retinal changes caused by diabetes mellitus.
Literatur
1.
Zurück zum Zitat Zhang JY, Fang XY, Sun Z (2011) Effect of combined surgery on proliferative diabetic retinopathy concomitant with cataract. Chin J Ophthalmol Otorhinolaryngol 11(3):156–158 Zhang JY, Fang XY, Sun Z (2011) Effect of combined surgery on proliferative diabetic retinopathy concomitant with cataract. Chin J Ophthalmol Otorhinolaryngol 11(3):156–158
2.
Zurück zum Zitat Jiang T, Zhou Y, Zhao G, Zhou Z, Meng Y, Meng X, Wang Y (2009) Vitrectomy combined with phacoemulsification for proliferative diabetic retinopathy. Int J Ophthalmol 9(12):2427–2429 Jiang T, Zhou Y, Zhao G, Zhou Z, Meng Y, Meng X, Wang Y (2009) Vitrectomy combined with phacoemulsification for proliferative diabetic retinopathy. Int J Ophthalmol 9(12):2427–2429
3.
Zurück zum Zitat Hao F (2015) The effect of intravitreal Lucentis combined with vitrectomy for diabetic retinopathy . Chin J Pract Ophthalmol 33(1):30–33 Hao F (2015) The effect of intravitreal Lucentis combined with vitrectomy for diabetic retinopathy . Chin J Pract Ophthalmol 33(1):30–33
4.
Zurück zum Zitat Davis MD, Fisher MR, Gangnon RE, Barton F, Aiello LM, Chew EY, Ferris FL 3rd, Knatterud GL (1998) Risk factors for high-risk proliferative diabetic retinopathy and severe visual loss: early treatment diabetic retinopathy study report #18. Invest Ophthalmol Vis Sci 39(2):233–252PubMed Davis MD, Fisher MR, Gangnon RE, Barton F, Aiello LM, Chew EY, Ferris FL 3rd, Knatterud GL (1998) Risk factors for high-risk proliferative diabetic retinopathy and severe visual loss: early treatment diabetic retinopathy study report #18. Invest Ophthalmol Vis Sci 39(2):233–252PubMed
8.
Zurück zum Zitat Shakarchi FI, Shakarchi AF, Al-Bayati SA (2018) Timing of neovascular regression in eyes with high-risk proliferative diabetic retinopathy without macular edema treated initially with intravitreous bevacizumab. Clin Ophthalmol 13:27–31CrossRef Shakarchi FI, Shakarchi AF, Al-Bayati SA (2018) Timing of neovascular regression in eyes with high-risk proliferative diabetic retinopathy without macular edema treated initially with intravitreous bevacizumab. Clin Ophthalmol 13:27–31CrossRef
9.
Zurück zum Zitat Li J, Zhao W, Yan P (2019) Research progress on anti-VEGF therapy for retinal capillary in diabetic macular edema. Int Eye Sci 19(1):66–68 Li J, Zhao W, Yan P (2019) Research progress on anti-VEGF therapy for retinal capillary in diabetic macular edema. Int Eye Sci 19(1):66–68
11.
Zurück zum Zitat Zhang P, Zhang J, Gao R, Sun X, Xu X (2018) The efficacy of intravitreal injection of vascular endo-thelial growth factor (VEGF ) inhibitors in patients with diabetic retinopathy. Recent Adv Ophthalmol 038(010):977–981 Zhang P, Zhang J, Gao R, Sun X, Xu X (2018) The efficacy of intravitreal injection of vascular endo-thelial growth factor (VEGF ) inhibitors in patients with diabetic retinopathy. Recent Adv Ophthalmol 038(010):977–981
12.
Zurück zum Zitat Murata T, Nakagawa K, Khalil A, Ishibashi T, Inomata H, Sueishi K (1996) The relation between expression of vascular endothelial growth factor and breakdown of the blood-retinal barrier in diabetic rat retinas. Lab Invest 74(4):819–825PubMed Murata T, Nakagawa K, Khalil A, Ishibashi T, Inomata H, Sueishi K (1996) The relation between expression of vascular endothelial growth factor and breakdown of the blood-retinal barrier in diabetic rat retinas. Lab Invest 74(4):819–825PubMed
13.
Zurück zum Zitat Frank RN (2001) Etiologic mechanisms in diabetic retinopathy. In: Ryan SJ (ed) Retina, Mosby, St Louis Frank RN (2001) Etiologic mechanisms in diabetic retinopathy. In: Ryan SJ (ed) Retina, Mosby, St Louis
16.
Zurück zum Zitat Khairallah M, Zeghidi H, Ladjimi A, Yahia SB, Attia S, Zaouali S, Messaoud R (2005) Primary intravitreal triamcinolone acetonide for diabetic massive macular hard exudates. Retina 25(7):835–839CrossRef Khairallah M, Zeghidi H, Ladjimi A, Yahia SB, Attia S, Zaouali S, Messaoud R (2005) Primary intravitreal triamcinolone acetonide for diabetic massive macular hard exudates. Retina 25(7):835–839CrossRef
Metadaten
Titel
Retrospective study of aflibercept in combination therapy for high-risk proliferative diabetic retinopathy and diabetic maculopathy
verfasst von
Yuan Tao
Pengfei Jiang
Ying Zhao
Lihua Song
Yuntao Ma
Yixiao Li
Hong Wang
Publikationsdatum
27.03.2021
Verlag
Springer Netherlands
Erschienen in
International Ophthalmology / Ausgabe 6/2021
Print ISSN: 0165-5701
Elektronische ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-021-01773-6

Weitere Artikel der Ausgabe 6/2021

International Ophthalmology 6/2021 Zur Ausgabe

Neu im Fachgebiet Augenheilkunde

Metastase in der periokulären Region

Metastasen Leitthema

Orbitale und periokuläre metastatische Tumoren galten früher als sehr selten. Aber mit der ständigen Aktualisierung von Medikamenten und Nachweismethoden für die Krebsbehandlung werden neue Chemotherapien und Strahlenbehandlungen eingesetzt. Die …

Staging und Systemtherapie bei okulären und periokulären Metastasen

Metastasen Leitthema

Metastasen bösartiger Erkrankungen sind die häufigsten Tumoren, die im Auge diagnostiziert werden. Sie treten bei ungefähr 5–10 % der Patienten mit soliden Tumoren im Verlauf der Erkrankung auf. Besonders häufig sind diese beim Mammakarzinom und …

CME: Wundheilung nach Trabekulektomie

Trabekulektomie CME-Artikel

Wird ein Glaukom chirurgisch behandelt, ist die anschließende Wundheilung von entscheidender Bedeutung. In diesem CME-Kurs lernen Sie, welche Pathomechanismen der Vernarbung zugrunde liegen, wie perioperativ therapiert und Operationsversagen frühzeitig erkannt werden kann.

„standard operating procedures“ (SOP) – Vorschlag zum therapeutischen Management bei periokulären sowie intraokulären Metastasen

Metastasen Leitthema

Peri- sowie intraokuläre Metastasen sind insgesamt gesehen selten und meist Zeichen einer fortgeschrittenen primären Tumorerkrankung. Die Therapie ist daher zumeist palliativ und selten kurativ. Zudem ist die Therapiefindung sehr individuell. Die …

Update Augenheilkunde

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.