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Changes to the Retina Following Anti-VEGF Treatments for Diabetic Macular Edema

L

Lawson Health Research Institute

Status

Completed

Conditions

Diabetic Macular Edema

Treatments

Drug: Ranibizumab Ophthalmic

Study type

Observational

Funder types

Other

Identifiers

Details and patient eligibility

About

anti-VEGF therapy is an established method to control leakage and abnormal growth of retinal blood vessels. Questions on the long-term effect on the retina, intraocular pressure and on the overall retinal perfusion from these treatments remain to be answered. The purpose of the study was to evaluate changes in the retina following anti-VEGF treatment over time, using structural and functional diagnostic tests.

Full description

Diabetic retinopathy (DR) causes changes in the capillaries that nourish the retina. Two treatments clinically used for DR are laser photocoagulation to reduce the angiogenic drive by knocking off metabolically active retina and anti-VEGF drugs for diabetic macular edema (DME). DME affects approximately 2.5% of the nearly 2.4 million Canadians with diabetes, or approximately 60,000 Canadians, making it a major cause of adult-onset vision loss. DME occurs when blood vessels in the retina of diabetic patients become leaky resulting in unwanted fluid accumulation in the center of vision known as the macula. If not treated, this can lead to blindness. Originally used in the treatment of age-related macular degeneration (AMD), anti-VEGF drugs are increasingly used to control leakage and abnormal growth of retinal blood vessels. Numerous questions have emerged following the usage of anti-VEGF medications in the eye such as their long-term effects of these drugs on intraocular pressure and on the overall retinal perfusion. By recruiting DR patients requiring anti-VEGF treatment for DME, this study will answer whether long-term usage of anti-VEGF will result in structural and functional changes to the retina.

Enrollment

51 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • DME patients
  • Require anti-VEGF injections in at least one eye

Exclusion criteria

  • Advanced lens opacity or cataract that could affect diagnostic testing
  • Prior retinal treatment (PRP, focal laser or surgery within 6 months of participation)

Trial design

51 participants in 2 patient groups

Ranibizumab Ophthalmic
Description:
DME consults requiring anti-VEGF treatment
Treatment:
Drug: Ranibizumab Ophthalmic
Control
Description:
DME consults not requiring anti-VEGF

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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