Challenges in Diabetic Macular Edema Management: An Expert Consensus Report

Purpose: This paper aimed to present daily-practice recommendations for the management of diabetic macular edema (DME) patients based on available scientific evidence and the clinical experience of the consensus panel. Methods: A group of Spanish retina experts agreed to discuss different aspects re...

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Autores: Udaondo, Patricia, Adán Civera, Alfredo, Arias Barquet, Lluís, Ascaso, Juan Francisco, Cabrera López, Francisco, Castro-Navarro, Verónica, Donate-López, Juan, García-Layana, Alfredo, Lavid, Francisco Javier, Rodríguez-Maqueda, Mariano, Ruiz Moreno, José María, 1958-
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/179800
Acceso en línea:https://hdl.handle.net/2445/179800
Access Level:acceso abierto
Palabra clave:Complicacions de la diabetis
Retinopatia diabètica
Diabetes complications
Diabetic retinopathy
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spelling Challenges in Diabetic Macular Edema Management: An Expert Consensus ReportUdaondo, PatriciaAdán Civera, AlfredoArias Barquet, LluísAscaso, Juan FranciscoCabrera López, FranciscoCastro-Navarro, VerónicaDonate-López, JuanGarcía-Layana, AlfredoLavid, Francisco JavierRodríguez-Maqueda, MarianoRuiz Moreno, José María, 1958-Complicacions de la diabetisRetinopatia diabèticaDiabetes complicationsDiabetic retinopathyPurpose: This paper aimed to present daily-practice recommendations for the management of diabetic macular edema (DME) patients based on available scientific evidence and the clinical experience of the consensus panel. Methods: A group of Spanish retina experts agreed to discuss different aspects related with the clinical management of DME patients. Results: Panel was mainly focused on therapeutic objectives in DME management; defini-tion terms; and role of biomarkers as prognostic and predictive factors to intravitreal treatment response. The panel recommends to start DME treatment as soon as possible in those eyes with a visual acuity less than 20/25 (always according to the retina unit capacity). Naive patient was defined, in a strict manner, as a patient who, up to that moment, had never received any treatment. A refractory DME patient may be defined as the one who did not achieve a complete resolution of the disease, regardless of the treatment administered. Different optical coherence tomography biomarkers, such as disorganization of the retinal inner layers, hyperreflective dots, and cysts, have been identified as prognostic factors. Conclusion: This document has sought to lay down a set of recommendations and to identify key issues that may be useful for the daily management of DME patients.Informa2021202120212021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion13 p.application/pdfhttps://hdl.handle.net/2445/179800Articles publicats en revistes (Ciències Clíniques)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.2147/OPTH.S320948Clinical Ophthalmology, 2021, vol. 15, p. 3183-3195https://doi.org/10.2147/OPTH.S320948cc by-nc (c) Udaondo, Patricia et al, 2021http://creativecommons.org/licenses/by-nc/3.0/es/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/1798002026-05-29T05:05:01Z
dc.title.none.fl_str_mv Challenges in Diabetic Macular Edema Management: An Expert Consensus Report
title Challenges in Diabetic Macular Edema Management: An Expert Consensus Report
spellingShingle Challenges in Diabetic Macular Edema Management: An Expert Consensus Report
Udaondo, Patricia
Complicacions de la diabetis
Retinopatia diabètica
Diabetes complications
Diabetic retinopathy
title_short Challenges in Diabetic Macular Edema Management: An Expert Consensus Report
title_full Challenges in Diabetic Macular Edema Management: An Expert Consensus Report
title_fullStr Challenges in Diabetic Macular Edema Management: An Expert Consensus Report
title_full_unstemmed Challenges in Diabetic Macular Edema Management: An Expert Consensus Report
title_sort Challenges in Diabetic Macular Edema Management: An Expert Consensus Report
dc.creator.none.fl_str_mv Udaondo, Patricia
Adán Civera, Alfredo
Arias Barquet, Lluís
Ascaso, Juan Francisco
Cabrera López, Francisco
Castro-Navarro, Verónica
Donate-López, Juan
García-Layana, Alfredo
Lavid, Francisco Javier
Rodríguez-Maqueda, Mariano
Ruiz Moreno, José María, 1958-
author Udaondo, Patricia
author_facet Udaondo, Patricia
Adán Civera, Alfredo
Arias Barquet, Lluís
Ascaso, Juan Francisco
Cabrera López, Francisco
Castro-Navarro, Verónica
Donate-López, Juan
García-Layana, Alfredo
Lavid, Francisco Javier
Rodríguez-Maqueda, Mariano
Ruiz Moreno, José María, 1958-
author_role author
author2 Adán Civera, Alfredo
Arias Barquet, Lluís
Ascaso, Juan Francisco
Cabrera López, Francisco
Castro-Navarro, Verónica
Donate-López, Juan
García-Layana, Alfredo
Lavid, Francisco Javier
Rodríguez-Maqueda, Mariano
Ruiz Moreno, José María, 1958-
author2_role author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Complicacions de la diabetis
Retinopatia diabètica
Diabetes complications
Diabetic retinopathy
topic Complicacions de la diabetis
Retinopatia diabètica
Diabetes complications
Diabetic retinopathy
description Purpose: This paper aimed to present daily-practice recommendations for the management of diabetic macular edema (DME) patients based on available scientific evidence and the clinical experience of the consensus panel. Methods: A group of Spanish retina experts agreed to discuss different aspects related with the clinical management of DME patients. Results: Panel was mainly focused on therapeutic objectives in DME management; defini-tion terms; and role of biomarkers as prognostic and predictive factors to intravitreal treatment response. The panel recommends to start DME treatment as soon as possible in those eyes with a visual acuity less than 20/25 (always according to the retina unit capacity). Naive patient was defined, in a strict manner, as a patient who, up to that moment, had never received any treatment. A refractory DME patient may be defined as the one who did not achieve a complete resolution of the disease, regardless of the treatment administered. Different optical coherence tomography biomarkers, such as disorganization of the retinal inner layers, hyperreflective dots, and cysts, have been identified as prognostic factors. Conclusion: This document has sought to lay down a set of recommendations and to identify key issues that may be useful for the daily management of DME patients.
publishDate 2021
dc.date.none.fl_str_mv 2021
2021
2021
2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/179800
url https://hdl.handle.net/2445/179800
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.2147/OPTH.S320948
Clinical Ophthalmology, 2021, vol. 15, p. 3183-3195
https://doi.org/10.2147/OPTH.S320948
dc.rights.none.fl_str_mv cc by-nc (c) Udaondo, Patricia et al, 2021
http://creativecommons.org/licenses/by-nc/3.0/es/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc by-nc (c) Udaondo, Patricia et al, 2021
http://creativecommons.org/licenses/by-nc/3.0/es/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 13 p.
application/pdf
dc.publisher.none.fl_str_mv Informa
publisher.none.fl_str_mv Informa
dc.source.none.fl_str_mv Articles publicats en revistes (Ciències Clíniques)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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