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Business & Profession Retina, Health Economics and Policy

V for DME

Diabetic macular edema (DME) is a major cause of visual impairment. It is currently treated with anti-VEGF therapy – but it might not stay that way for much longer. As private insurers and national health care systems struggle to manage the escalating costs associated with monthly anti-VEGF therapy, it is obvious that a long-lasting, reasonably priced treatment for DME is needed – and I think vitrectomy could be the answer.

Vitrectomy removes traction, eliminates vasoproliferative factors, and improves oxygenation. But despite several retrospective and prospective studies showing that vitrectomy significantly decreases DME, it is not yet supported by good clinical evidence. Many of the existing studies lack consistent enrollment criteria, control groups, and standardized measurements of visual acuity (VA), as well as the use of more advanced OCT technology.

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About the Author

J. Fernando Arevalo

J. Fernando Arevalo is Edmund F. and Virginia B. Ball Professor of Ophthalmology at the Wilmer Eye Institute, Baltimore, MD, USA

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