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What are the treatment options for diabetic macular oedema?

Asked by Male, 39 · 2 months ago

Diabetic macular oedema (DME) occurs when fluid accumulates in the retina due to diabetes, leading to vision problems. Treatment options include anti-VEGF injections (e.g., bevacizumab or ranibizumab) to reduce retinal swelling and improve vision, corticosteroid injections or implants for persistent swelling, and focal or grid laser therapy in selected cases to seal leaking blood vessels and prevent further vision loss. Controlling blood sugar, blood pressure, and cholesterol helps slow disease progression. Regular follow-up with an ophthalmologist is essential to monitor the condition and adjust treatment as needed.
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  1. Overview of Diabetic Macular Oedema (DME)

    • DME is a condition where fluid accumulates in the macula, leading to vision impairment.
  2. Medical Treatments

    • Anti-VEGF Injections: Medications like ranibizumab (Lucentis), aflibercept (Eylea), and bevacizumab (Avastin) help reduce fluid leakage and swelling.
    • Steroid Injections or Implants: Corticosteroids are used to decrease inflammation and swelling in the retina.
  3. Laser Therapy

    • Focal/Grid Laser Photocoagulation: This laser treatment seals leaking blood vessels to reduce fluid accumulation.
  4. Surgical Options

    • Vitrectomy: Considered when there is vitreous hemorrhage or traction affecting vision.
  5. Importance of Managing Underlying Diabetes

    • Control blood sugar, blood pressure, and cholesterol to prevent disease progression.
  6. Follow-up and Monitoring

    • Regular eye exams and imaging tests like OCT are crucial to monitor treatment response.
  7. Relevant Medical Specialties

    • Ophthalmologists, especially retina specialists, play a key role in managing DME.

Answered 2 months ago