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Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. The treatment for diabetic macular edema has changed.  The gold-standard for treatment of diabetic macular edema has long been laser treatment, but several types of injections have become approved.
Laser treatment works less well when there is diffuse thickening, but without obvious focal areas of leakage.  Laser treatment can not be performed when the areas requiring treatment are located in the central macula.
Intraocular steroids, such as Kenalog, have been injected into the vitreous to help control diabetic macular edema. Ozurdex, a sustained release steroid delivery system, has also been FDA approved for the treatment of diabetic macular edema in those who have had cataract surgery or are planning to have cataract surgery.
The device is delivered into the vitreous as an injection and steroid is released into the eye for about 4 months. With the approval of these newer products, laser treatment is no longer the gold standard for treating macular edema from diabetes. There still is a role for each treatment modality.  No single treatment seems to be better than another.  It has become customary, at least in my practice, to usually combine treatments for the best outcomes!
Despite the array of treatments, it is still prudent to get early and regular dilated eye exams to limit the development of DME. Female patient of 86-years of age with a central retinal vein occlusion with macular edema in the right eye.

The Retina Group of New York (RGONY), with offices in Hicksville and Hauppauge, NY, has announced the availability of Ozurdex® (dexamethasone intravitreal implant) as a long-lasting treatment for diabetic macular edema (DME) patients. Over half a million diabetics with the background form of diabetic retinopathy develop diabetic macular edema (DME), threatening their fine vision, and their ability to read and drive. DME, a leading cause of vision loss in diabetic patients, is a condition in which microvascular damage from diabetes leads to leakage in the central portion of the retina, the macula. The Retina Group of New York is composed of Board Certified Ophthalmologists with additional subspecialty training in vitreous and retinal surgery and medical retinal diagnosis and treatment. Diabetic Macular Edema SchematicHigh resolution laser scanners generate pictures of the back of the eye and show swelling and leakage from capillaries damaged by diabetes.Diabetic Macular EdemaDiabetic Macular Edema is swelling in the central part of the retina. Reach out to the author: contact and available social following information is listed in the top-right of all news releases. Diabetic Retinopathy is the leading cause of blindness in patients 20 - 64 years of age in the United states.
At Retina and Vitreous of Louisiana we treat the causes of vision loss from diabetes - macular edema, neovascular proliferation, vitreous hemorrhage, and tractional retinal detachment with a combination of laser, anti-VEGF intravitreal injections and vitrectomy surgery.
Ozurdex, a corticosteroid manufactured by Allergan, recently obtained an additional FDA-approved indication for use in diabetic macular edema. The group provides eye care for patients with retinal problems such as diabetic retinopathy, macular degeneration, retinal vascular disease, retinal detachments, vitreoretinal interface disorders such as VMA, macular puckers and holes, surgical complications, uveitis and second opinions.

Ozurdex was previously approved by the FDA in 2009 for treatment of retinal vascular occlusions and and in 2010 for non-infectious uveitis (inflammation in the eye). However, over half a million diabetics with the background form of diabetic retinopathy develop diabetic macular edema (DME), threatening their fine vision, and their ability to read and drive. Ozurdex is administered in the eye during routine office visits and has proven to be safe and effective.
Members of the group holds staff privileges at seven area hospitals, teaching appointments and served as a Corporate Advisory Board member for the Foundation of the American Academy of Ophthalmology (AAO), the Juvenile Diabetes Foundation Medical Advisory Board and the AAO Instrument and Device and Low Vision Committees. Public Health Service and the National Institute of Health and represented the National Society to Prevent Blindness at the ANSI Z-80 committee helping to establish many ophthalmic industry standards. She was supposed to receive the letter after he died, but stumbles across it while he is still very much alive.
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