Unilateral intravitreal dexamethasone implant for diabetic macular edema: effect in the contralateral eye

We describe three patients who had previous heart diseases and nonproliferative diabetic retinopathy with clinically significant diabetic macular edema. They underwent unilateral dexamethasone intravitreal implantation. Without ophthalmological treatment in the fellow eye, patients showed marked bil...

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Bibliographic Details
Published inArquivos brasileiros de oftalmologia Vol. 83; no. 1; p. 73
Main Authors Pareja-Ríos, Alicia, Bonaque-González, Sergio
Format Journal Article
LanguageEnglish
Portuguese
Published Brazil Conselho Brasileiro de Oftalmologia 01.01.2020
Subjects
OPHTHALMOLOGY
Diabetic retinopathy
Dexamethasone/administration & dosage
Dexametasona/administração & dosagem
Humanos
Diabetes mellitus
Humans
Injeções intravítreas
Edema macular
Relatos de casos
Case report
Intravitreal injections
Retinopatia diabética
Macular edema
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Summary:We describe three patients who had previous heart diseases and nonproliferative diabetic retinopathy with clinically significant diabetic macular edema. They underwent unilateral dexamethasone intravitreal implantation. Without ophthalmological treatment in the fellow eye, patients showed marked bilateral improvement in best-corrected visual acuity, optical coherence images, and macular thickness values. These findings provide evidence of the bilateral effect of dexamethasone intravitreal implantation, which may be clinically useful in patients for whom the systemic effects of the drug may affect their general health.
ISSN:0004-2749
1678-2925
1678-2925
DOI:10.5935/0004-2749.20200013