Fluocinolone Acetonide Intravitreal Implant for the Treatment of Diabetic Macular Edema
Overview
Affiliations
Diabetic macular edema (DME) remains one of the leading causes of moderate to severe vision loss. Although laser photocoagulation was the standard of care for several years, few patients achieved significant improvements in visual acuity. As a result, several pharmacotherapies and surgeries have been investigated. The fluocinolone acetonide devices are one of the latest therapies considered for the treatment of DME. Despite bringing significant improvements in visual acuity, fluocinolone devices are associated with cataract formation, increased intraocular pressure (IOP), and surgery to lower IOP. Due to the risk of complications, fluocinolone acetonide devices should be considered only in cases refractive to first-line therapies. In this review, we evaluate current and emerging therapies for DME, with special emphasis on fluocinolone acetonide intravitreal devices.
Machado Soares R, Cunha Ferreira C, Fernandes J, Madeira C, Silva L, Saraiva E Clin Ophthalmol. 2024; 18:1057-1066.
PMID: 38646183 PMC: 11032137. DOI: 10.2147/OPTH.S382920.
New Diagnostic and Therapeutic Approaches for Preventing the Progression of Diabetic Retinopathy.
Park Y, Roh Y J Diabetes Res. 2016; 2016:1753584.
PMID: 26881240 PMC: 4736008. DOI: 10.1155/2016/1753584.
Jiang X, Lv H, Qiu W, Liu Z, Li X, Wang W Drug Des Devel Ther. 2015; 9:3043-50.
PMID: 26109847 PMC: 4472070. DOI: 10.2147/DDDT.S85529.
Bertelmann T, Schulze S Ophthalmol Ther. 2015; 4(1):51-8.
PMID: 25672501 PMC: 4470980. DOI: 10.1007/s40123-015-0028-0.
Advances in diabetic retinopathy.
Agarwal P, Jindal A, Saini V, Jindal S Indian J Endocrinol Metab. 2014; 18(6):772-7.
PMID: 25364670 PMC: 4192980. DOI: 10.4103/2230-8210.140225.