Diabetic macular edema: New promising therapies

被引:20
作者
Al Shamsi, Hanan N. [1 ]
Masaud, Jluwi S. [1 ]
Ghazi, Nicola G. [1 ,2 ]
机构
[1] King Khalid Eye Specialist Hosp, Vitroretinal Div, POB 7191, Riyadh 11462, Saudi Arabia
[2] Univ Virginia, Dept Ophthalmol, Charlottesville, VA USA
关键词
Diabetic macular edema; Diabetic retinopathy; Intravitreal injection; Laser photocoagulation; Pharmacotherapy; Sustained release drug delivery devices; Vitrectomy;
D O I
10.4239/wjd.v4.i6.324
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The treatment of diabetic macular edema is rapidly evolving. The era of laser therapy is being quickly replaced by an era of pharmacotherapy. Several pharmacotherapies have been recently developed for the treatment of retinal vascular diseases such as diabetic macular edema. Several intravitreal injections or sustained delivery devices have undergone phase 3 testing while others are currently being evaluated. The results of clinical trials have shown the superiority of some of these agents to laser therapy. However, with the availability of several of these newer agents, it may be difficult to individualize treatment options especially those patients respond differently to various therapies. As such, more effort is still needed in order to determine the best treatment regimen for a given patient. In this article, we briefly summarize the major new therapeutic additions for the treatment of diabetic macular edema and allude to some future promising therapies. (C) 2013 Baishideng Publishing Group Co., Limited. All rights reserved.
引用
收藏
页码:324 / 338
页数:15
相关论文
共 155 条
[1]   Effect of ruboxistaurin on visual loss in patients with diabetic retinopathy [J].
Abraham, Prema ;
Adelman, Ron A. ;
Alfaro, Daniel Virgil, III ;
Anand, Rajiv ;
Antoszyk, Andrew ;
Bergsma, Donald ;
Hartnett, Mary Elizabeth ;
Brucker, Alexander J. ;
Carr, Tyree ;
Casey, Raynor C. ;
Rubino, John ;
Chandler, Thomas W. ;
Charles, Steven ;
Chaudhry, Nauman ;
Combs, James ;
Doft, Bernard ;
Young, Lucy H. Y. ;
Drouilhet, John H. ;
Dugel, Pravin U. ;
Feman, Stephen S. ;
Finkelstein, Daniel ;
Foster, Robert E. ;
Petersen, Michael R. ;
Fox, Gregory ;
Garretson, Bruce ;
Gieser, Jon P. ;
Gentile, Ronald C. ;
Giovinazzo, Vincent ;
Glazer, Louis ;
Goodart, Roy A. ;
Gottlieb, Justin ;
Greven, Craig ;
Grizzard, William S. ;
Hainsworth, Dean P. ;
Halperin, Lawrence ;
Heier, Jeffrey S. ;
Jackson, William ;
Kubacki, Joseph J. ;
Kanter, Eric D. ;
Keyser, Bruce ;
Kingsley, Ronald ;
Ko, Paula ;
Kokame, Gregg T. ;
Kuppermann, Baruch ;
Lambert, H. Michael ;
Lewis, Hilel ;
Lewis, Richard Alan ;
Marcus, Dennis ;
Nussbaum, Julian ;
Maturi, Raj K. .
OPHTHALMOLOGY, 2006, 113 (12) :2221-2230
[2]   Immunological mechanisms in the pathogenesis of diahetic retinopathy [J].
Adamis, Anthony P. ;
Berman, Adrienne J. .
SEMINARS IN IMMUNOPATHOLOGY, 2008, 30 (02) :65-84
[3]   VASCULAR ENDOTHELIAL GROWTH-FACTOR IN OCULAR FLUID OF PATIENTS WITH DIABETIC-RETINOPATHY AND OTHER RETINAL DISORDERS [J].
AIELLO, LP ;
AVERY, RL ;
ARRIGG, PG ;
KEYT, BA ;
JAMPEL, HD ;
SHAH, ST ;
PASQUALE, LR ;
THIEME, H ;
IWAMOTO, MA ;
PARK, JE ;
NGUYEN, HV ;
AIELLO, LM ;
FERRARA, N ;
KING, GL .
NEW ENGLAND JOURNAL OF MEDICINE, 1994, 331 (22) :1480-1487
[4]  
Akduman L, 1999, OPHTHALMIC SURG LAS, V30, P706
[5]  
[Anonymous], 1995, ARCH OPHTHALMOL-CHIC, V113, P1144
[6]   Vascular permeability in experimental diabetes is associated with reduced endothelial occludin content - Vascular endothelial growth factor decreases occludin in retinal endothelial cells [J].
Antonetti, DA ;
Barber, AJ ;
Khin, S ;
Lieth, E ;
Tarbell, JM ;
Gardner, TW .
DIABETES, 1998, 47 (12) :1953-1959
[7]   HISTOPATHOLOGY AND ULTRASTRUCTURE OF ARGON LASER LESION IN HUMAN RETINAL AND CHOROIDAL VASCULATURES [J].
APPLE, DJ ;
GOLDBERG, MF ;
WYHINNY, G .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 1973, 75 (04) :595-609
[8]   INTRAVITREAL INFLIXIMAB IN PATIENTS WITH MACULAR DEGENERATION WHO ARE NONRESPONDERS TO ANTIVASCULAR ENDOTHELIAL GROWTH FACTOR THERAPY [J].
Arias, Luis ;
Caminal, Jose M. ;
Badia, Maria B. ;
Rubio, Marcos J. ;
Catala, Jaume ;
Pujol, Octavio .
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES, 2010, 30 (10) :1601-1608
[9]   Intravitreal triamcinolone acetonide for diffuse diabetic macular edema: Phase 2 trial comparing 4 mg vs 2 mg [J].
Audren, Francois ;
Lecleire-Collet, Amelie ;
Erginay, Ali ;
Haouchine, Belkacem ;
Benosman, Rym ;
Bergmann, Jean-Francois ;
Gaudric, Alain ;
Massin, Pascale .
AMERICAN JOURNAL OF OPHTHALMOLOGY, 2006, 142 (05) :794-799
[10]  
Bahadir Mehmet, 2005, International Ophthalmology, V26, P3