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Graefe's Archive for Clinical and Experimental Ophthalmology

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30.09.2020 | Review Article

Review of clinical studies and recommendation for a therapeutic flow chart for diabetic macular edema

verfasst von: Shigeo Yoshida, Tomoaki Murakami, Miho Nozaki, Kiyoshi Suzuma, Takayuki Baba, Takao Hirano, Osamu Sawada, Masahiko Sugimoto, Yoshihiro Takamura, Eiko Tsuiki

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 4/2021

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Abstract

Diabetic macular edema (DME), characterized by exudative fluid accumulation in the macula, is the most common form of sight-threatening retinopathy in patients with diabetes. The management of DME has changed considerably in recent years, especially following the development of intravitreal anti-vascular endothelial growth factor therapy which has emerged as a first-line therapy for center-involved DME. Laser treatment, intravitreal steroid therapy, and vitrectomy are also important treatment options for DME. We believe that it is important to choose the most appropriate treatment option for DME based on the clinical evidences, in addition to the careful consideration of individual patients’ general or ocular condition, DME characteristics, patients’ motivation, and compliance to the treatment in real-world clinical practice. In this review, we have summarized important clinical evidences for the main treatments for DME, presented an expert review for these evidences, and proposed a recommended therapeutic flow chart for DME. We hope that our review of the clinical evidences and the recommended therapeutic flow chart for DME will contribute to better treatment outcome for DME.

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Titel: Review of clinical studies and recommendation for a therapeutic flow chart for diabetic macular edema
verfasst von: Shigeo Yoshida
Tomoaki Murakami
Miho Nozaki
Kiyoshi Suzuma
Takayuki Baba
Takao Hirano
Osamu Sawada
Masahiko Sugimoto
Yoshihiro Takamura
Eiko Tsuiki
Publikationsdatum: 30.09.2020
Verlag: Springer Berlin Heidelberg
Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 4/2021
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI: https://doi.org/10.1007/s00417-020-04936-w

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Review of clinical studies and recommendation for a therapeutic flow chart for diabetic macular edema

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