Influence of the epiretinal membrane on ranibizumab therapy outcomes in patients with diabetic macular edema

Arq Bras Oftalmol. 2016 Nov-Dec;79(6):373-375. doi: 10.5935/0004-2749.20160106.

Abstract

Purpose:: To investigate the influence of the epiretinal membrane (ERM) on intravitreal ranibizumab (IVR) therapy for diabetic macular edema (DME).

Methods:: This retrospective study included 56 eyes of 48 patients with DME divided into two groups: the DME with ERM (study) and only DME (control) groups. Changes in the central macular thickness (CMT) and best-corrected visual acuity (BCVA) were evaluated.

Results:: In the study group, although the CMT was significantly reduced following the first injection (p<0.001), BCVA did not improve significantly (p=0.296). However, after the first injection, the control group exhibited both a significant decrease in CMT (p<0.001) and improvement in BCVA (p<0.001). However, the improvement in BCVA in the control group was not significantly different from the outcome of the study group.

Conclusions:: We observed a negative short-term influence of the ERM on IVR treatment for DME.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Angiogenesis Inhibitors / administration & dosage*
  • Case-Control Studies
  • Diabetic Retinopathy / drug therapy*
  • Epiretinal Membrane / physiopathology*
  • Female
  • Humans
  • Intravitreal Injections
  • Macular Edema / drug therapy*
  • Male
  • Middle Aged
  • Ranibizumab / administration & dosage*
  • Retrospective Studies
  • Visual Acuity / physiology*

Substances

  • Angiogenesis Inhibitors
  • Ranibizumab