1. Dexamethasone implant in naive versus refractory patients with diabetic macular edema: a Meta-analysis
- Author
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Qian Xu, Chao Yang, and Jie Luan
- Subjects
diabetic macular edema ,dexamethasone implant ,refractory eyes ,systemic review ,Ophthalmology ,RE1-994 - Abstract
AIM: To evaluate the efficacy and safety of the intravitreal dexamethasone implant in naive and refractory patients with diabetic macular edema (DME). METHODS: PubMed, Embase, Web of Science, and Medline databases were searched. The main outcomes were best-corrected visual acuity (BCVA) and central retinal thickness (CRT). The secondary outcomes included mean number of injections, intraoperative or postoperative complications including intraocular pressure (IOP) elevation and cataract. RESULTS: Ten comparative studies involving a total of 1000 DME eyes including 402 naive eyes and 598 refractory eyes were selected. The postoperative BCVA in the naive group was significantly better than in the refractory group [mean difference (MD) -0.11, 95% confidence interval (CI) -0.17 to -0.05, P=0.0003; MD 8.69, 95%CI 5.08 to 12.30, P
- Published
- 2024
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