Title |
Efficacy and safety of sustained-delivery fluocinolone acetonide intravitreal implant in patients with chronic diabetic macular edema insufficiently responsive to available therapies: a real-life study
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Published in |
Clinical Ophthalmology, July 2016
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DOI | 10.2147/opth.s105385 |
Pubmed ID | |
Authors |
Pascale Massin, Ali Erginay, Bénédicte Dupas, Aude Couturier, Ramin Tadayoni |
Abstract |
To evaluate the efficacy and safety of sustained-delivery fluocinolone acetonide (FAc) intravitreal implant for diabetic macular edema (DME). Prospective study in patients with DME insufficiently responsive to laser and anti-vascular endothelial growth factor (anti-VEGF). Patients with history of rise of intraocular pressure after intravitreal corticosteroids were excluded. The macular edema rapidly decreased both in group 1 (prior laser only; n=7 eyes) and group 2 (prior laser and ≥3 monthly anti-VEGF therapy; n=10 eyes) and central subfield thickness was reduced by -299 μm (P=0.008) and -251 μm (P=0.016) at 12 months, respectively. Mean area under the curve from baseline to last value for pseudophakic eyes was +4.2 letters in group 1 and +9.5 letters in group 2. Overall, the FAc implant was well tolerated. This prospective study confirms the efficacy of the FAc implant in DME patients insufficiently responsive to laser and anti-VEGF. Moreover, with a careful patient selection, our safety results would support an earlier use of FAc in the DME treatment pathway. |
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Unknown | 2 | 100% |
Demographic breakdown
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Members of the public | 1 | 50% |
Practitioners (doctors, other healthcare professionals) | 1 | 50% |
Mendeley readers
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Unknown | 31 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Other | 8 | 26% |
Student > Ph. D. Student | 6 | 19% |
Researcher | 4 | 13% |
Student > Master | 4 | 13% |
Professor > Associate Professor | 2 | 6% |
Other | 3 | 10% |
Unknown | 4 | 13% |
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Medicine and Dentistry | 17 | 55% |
Biochemistry, Genetics and Molecular Biology | 3 | 10% |
Nursing and Health Professions | 2 | 6% |
Mathematics | 1 | 3% |
Computer Science | 1 | 3% |
Other | 1 | 3% |
Unknown | 6 | 19% |