Recommendations for the appropriate management of diabetic macular edema: Light on DME survey and consensus document by an expert panel

European Journal of Ophthalmology
Francesco BandelloPaolo Lanzetta

Abstract

The Light on DME survey was designed to address several issues concerning the management of diabetic macular edema (DME) with the objective of producing practical recommendations for the appropriate treatment of this condition. The recommendations considered aspects of DME treatment that are controversial and insufficiently supported by the evidence and were based on a consensus reached by an expert panel. Consensus was achieved by means of the Delphi method. Thirty-one Italian retinologists were asked to rate the appropriateness of a comprehensive set of scenarios typically encountered in the management of DME in clinical practice. The results of the appropriateness evaluation were analyzed by the study panel and a second assessment round was conducted for those scenarios on which no consensus was reached. Consensus was reached on several relevant aspects of current DME management, namely the initiation and course of treatment with anti-vascular endothelial growth factor (VEGF) therapy, assessment of the outcomes of anti-VEGF therapy based on both functional and morphologic outcomes, combination of anti-VEGF with laser therapy, and management of nonresponders to anti-VEGFs. A few issues, including the definition of DME based o...Continue Reading

References

Jun 1, 1994·Ophthalmology·S E MossB E Klein
Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Sep 23, 1997·Diabetic Medicine : a Journal of the British Diabetic Association·L B BäcklundU Rosenqvist
Feb 10, 2000·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications Research GroupDavid M Nathan
Oct 3, 2002·Diabetic Medicine : a Journal of the British Diabetic Association·M TrentoM Porta
Jan 22, 2005·Seminars in Ophthalmology·G PanozzoS Pignatto
Aug 4, 2009·Diabetic Medicine : a Journal of the British Diabetic Association·C S ArunR Taylor
Jun 29, 2010·Lancet·Ning CheungTien Yin Wong
Feb 24, 2012·Diabetic Medicine : a Journal of the British Diabetic Association·S AroraM McKibbin
Jul 4, 2013·Diabetic Medicine : a Journal of the British Diabetic Association·J B Echouffo-TcheuguiK M Narayan
Aug 24, 2013·Survey of Ophthalmology·Christine A KiireVictor Chong
Dec 21, 2013·Ophthalmic Research·F BandelloM Battaglia Parodi
Jan 1, 2014·Journal of Diabetes and Its Complications·Simone MatsudaJustis P Ehlers
Jun 13, 2014·Current Diabetes Reports·Michael W Stewart

❮ Previous
Next ❯

Citations

Dec 7, 2017·Japanese Journal of Ophthalmology·Hiroko TerasakiTatsuro Ishibashi
Oct 9, 2018·European Journal of Ophthalmology·Rodrigo Abreu-GonzalezMaría I Lopez-Galvez
Nov 27, 2019·Klinische Monatsblätter für Augenheilkunde·Albert J AugustinMarc Schargus

❮ Previous
Next ❯

Methods Mentioned

BETA
pharmacotherapy

Related Concepts

Related Feeds

Arterial-Venous in Development & Disease

Arterial-venous development may play a crucial role in cardiovascular diseases. Here is the latest research.