Sosa GI, Ballate NEM, Valdés TD, Tamargo BTO, Linares ID, Fernández EC

Language: Spanish
References: 16
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ABSTRACT

Introduction: the proliferative diabetic retinopathy and the diabetic macular edema clinically significative can provoke visual loss. At present there are multiple alternatives of treatment.
Aim: To evaluate the results of combined treatment of intravitreous bevacizumab with laser photocoagulation in patients with clinically significant diabetic macular edema.
Method: A prospective longitudinal case series study was performed in 36 patients, who were treated in the medical office for vitreous retina at Hermanos Ameijeiras Clinical-Surgical Hospital between 2014 and 2015. Between the third and fourth weeks after the combined treatment of intravitreous bevacizumab, laser photocoagulation was performed on the grid. The following variables were evaluated: age, sex, best corrected visual acuity, macular thickness measured by optical coherence tomography, glycosylated hemoglobin, and time course of diabetes mellitus. The improvement criteria were: increase of one or more lines of visual acuity better corrected with respect to baseline, and macular thickness decrease of 50 µ or over.
Results: The variables influencing or separately associated to macular thickness were showed to be: absence of non-proliferative diabetic retinopathy, evolution time, and glycosylated hemoglobin. The regression coefficients were significantly different from 0 (p ‹ 0.05) R2=0.425 for the best corrected visual acuity.
Conclusions: Combined treatment of intravitreous bevacizumab with laser photocoagulation in diabetic macular edema was satisfactory in the series studied, in terms of visual acuity improvement and macular thickness decrease. In addition, we demonstrated the association between visual results and the absence of nonproliferative diabetic retinopathy, shorter evolution time and better metabolic control.

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