Diabetes Mellitus, With Complications Clinical Trial
Official title:
New Concepts in Diabetic Macular Edema (DME) Ranibizumab and Focal/Direct Laser for Chronic Diabetic Macular Edema With Vision Impairment
Intravitreal ranibizumab injection procedure is simple and effective. In management of chronic DME there is no clear anatomical endpoint. Visual stability is the primary aim. Argon focal laser therapy can be the safe second choice. The combined therapy is successful and practical for chronic DME patients.
Settings and Design: Randomized clinical study
Subjects and Methods:
investigators randomly assigned 150 adults (the average age was 59.32 years ±2.79) with
chronic diabetic macular edema involving the macular center for repeated ranibizumab
injections (group A-75) or focal/direct argon laser after repeated ranibizumab injections
(group B-75). The outcomes were the changes in visual acuity letter score and the central
subfield thickness (CST) from baseline to one year. visual-acuity Letter score, and CST were
analyzed with independent t-test and Mann Whitney-test. General linear model with
multivariate analysis was used for visual acuity letter score, and CST in both groups.
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