This abstract is assigned to sessions
| Presentation preference | Poster presentation |
| Title | Effectiveness of intravitreal anti-VEGF injection,intravitreal corticosteroid implant and systemic steroid for treatment of recurrent uveitic macular edema:Case Report |
| Purpose | Intravitreal anti VEGF,corticosteroid implant and systemic steroids are used to treat macular edema.The study compared the effectiveness of each intervention with a patient who had recurrent uveitic macular edema |
| Methods | A 59-year-old female known diabetic presented to our clinic with blurring of vision of the right eye. On examination, visual acuity was 20/400 on the right eye and 20/25 on the left. Fluorescein angiography and OCT revealed macular edema on the right eye. Data from the macular scans before and after interventions (intravitreal anti-VEGF injection,intravitreal corticosteroid implant and systemic steroid) were analyzed. Changes in the central subfield, outer and inner macular thickness were considered as outcome measures.Progress in VA was descriptively compared |
| Results | Mean thickness of the outcome measures differed significantly between interventions (F(1.205, 9.642)=15.397, p<.05)). Specifically, mean thickness was reduced in the second and third interventions by an average of 50.56μm(p<.05) and 94.33μm(p<.05), respectively, against the baseline. Patient responded most positively to the third intervention with reduced central subfield thickness of 47% against the baseline and improvement of VA to 20/25 from 20/80 prior to administration |
| Conclusion | Systemic steroid was the most effective intervention resulting in a significant reduction in retinal thickness and remission from uveitic macular edema leading to sustained improvement in VA. Further evaluation of this treatment especially post-intervention review for side effects and future case-control study methodology are recommended |
| Conflict of interest | No |
Authors 1
| Last name | SARMIENTO |
| Initials of first name(s) | AMA |
| Department | QMMC |
| City | Quezon City |
| Country | Philippines |
