Anti-VEGF therapy for diabetic macular edema.

Abstract:

:Vascular endothelial growth factor (VEGF) plays a pivotal role in the development of diabetic macular edema (DME), the leading cause of vision loss among working-aged individuals. A decade of clinical trials demonstrated that drugs that bind soluble VEGF restore the integrity of the blood-retinal barrier, resolve macular edema, and improve vision in most patients with DME. Four drugs (pegaptanib, ranibizumab, bevacizumab, and aflibercept) effectively treat DME when administered by intravitreal injections. Only ranibizumab has received U.S. Food and Drug Administration (FDA) approval for DME, but bevacizumab is commonly used off-label, and an FDA application for aflibercept is pending. Effective treatment requires repeated injections, although recent data suggest that the treatment burden diminishes after 1 year. Intravitreal therapy is generally safe, although the incidence of systemic thromboembolic events varies among trials.

journal_name

Curr Diab Rep

journal_title

Current diabetes reports

authors

Stewart MW

doi

10.1007/s11892-014-0510-4

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

510

issue

8

eissn

1534-4827

issn

1539-0829

journal_volume

14

pub_type

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