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Journals / Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / 2022 / Cilt: 9 - Sayı: 3

Effect of Intravitreal Ranibizumab Injection on Different Optical Coherence Tomographic Patterns of Diabetic Macular Edema

Diyabetik Makula Ödeminde İntravitreal Ranibizumab Enjeksiyonunun Farklı Optik Koherens Tomografi Morfolojileri Üzerindeki Etkisi

Muhammed ALTINIŞIK
Havvanur BAYRAKTAR
Arif KOYTAK
Pages
386–392
Publication Date
2022-10-12
DOI
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While there was no difference between the baseline BCVA and TMV values (p>0.05), the CFT values were ranked as SRD, CME and DRK (p

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Objective & Hypothesis:Objective: To compare the early therapeutic effect of intravitreal ranibizumab (IVR) injection in eyes with diabetic macular edema (DME) of different patterns determined by spectral-domain optical coherence tomography (SD-OCT).
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Key Findings & Data:Eyes with a clinically significant DME and a central foveal thickness (CFT) ≥ 250 µm determined by SD-OCT were included.
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Conclusion & Impact:While there was no difference between the baseline BCVA and TMV values (p>0.05), the CFT values were ranked as SRD, CME and DRK (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Diyabetik maküla ödemi · optik koherens tomografi · ranibizumab

Abstract

Objective: To compare the early therapeutic effect of intravitreal ranibizumab (IVR) injection in eyes with diabetic macular edema (DME) of different patterns determined by spectral-domain optical coherence tomography (SD-OCT). Materials and Methods: Medical records of nonproliferatif diabetic retinopathy (NPDR) patients who had a single IVR injection for DME were analyzed retrospectively. Eyes with a clinically significant DME and a central foveal thickness (CFT) ≥ 250 µm determined by SD-OCT were included. Best-corrected visual acuity (BCVA), CFT and total macular volume (TMV) values before and after the injection were recorded. Eyes were divided into sponge-like diffuse retinal thickening (DRT), cystoid macular edema (CME) and serous retinal detachment (SRD) groups according to SD-OCT. Sub-analyzes were performed to exclude the effect of baseline CFT disparity. Results: A total of 101 eyes (44 DRT, 40 CME and 17 SRD) were included in the study. While there was no difference between the baseline BCVA and TMV values (p>0.05), the CFT values were ranked as SRD, CME and DRK (p

Özet

Giriş ve Amaç: Spektral-domain optik koherens tomografi (SD-OKT) ile belirlenen farklı paternlerdeki diyabetik maküla ödemi (DMÖ) olgularında intravitreal ranibizumab (İVR) enjeksiyonunun erken dönem etkinliğini karşılaştırmak. Gereç ve Yöntemler: Tek doz İVR uygulanmış nonproliferatif diyabetik retinopatiye sekonder DMÖ olguları retrospektif olarak analiz edildi. Klinik anlamlı santral DMÖ’sü olan ve santral fovea kalınlığı (SFK)≥250 µm olan gözler çalışmaya dahil edildi. Olgular SD-OKT morfolojisine göre; süngerimsi diffüz retina kalınlaşması (DRK), kistoid maküla ödemi (KMÖ) ve seröz retina dekolmanı (SRD) gruplarına ayrıldı. Gruplar enjeksiyon öncesi ve enjeksiyon sonrası birinci ay kontrollerinde, en iyi düzeltilmiş görme keskinliği (EİDGK), SFK ve total maküla volümü (TMV) değişimi açısından karşılaştırıldı. SFK değişimi üzerindeki başlangıç SFK değerlerinin etkisini dışlamak için ANCOVA analizi ve gruplar arasında randomizasyon yapılarak alt analizler yapıldı. Bulgular: Çalışmaya 101 olgu (44 DRK, 40 KMÖ ve 17 SRD) dahil edildi. Gruplar yaş ve cinsiyet dağılımı açısından benzerdi (p>0,05). Başlangıç EİDGK ve TMV değerleri arasında anlamlı fark yok iken (p>0,05), başlangıç SFK değerleri büyükten küçüğe doğru sırası ile SRD, KMÖ ve DRK şeklinde sıralandı (p

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Cite This Article

ALTINIŞIK, M., BAYRAKTAR, H., KOYTAK, A. (2022). Effect of Intravitreal Ranibizumab Injection on Different Optical Coherence Tomographic Patterns of Diabetic Macular Edema. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi, Cilt: 9 - Sayı: 3, 386–392. https://ajindex.com/articles/472654

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