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This study aims to evaluate the influence and prognostic value of systemic factors (such as the cardiovascular and metabolic status) on the treatment response to anti-VEGF therapy in macular edema due to diabetes or retinal vein occlusion.
This study includes patients with macular edema (ME) due to diabetes or retinal vein occlusion in the need of treatment.
At baseline patients underwent an extensive ophthalmological examination (best-corrected visual acuity, OCT, OCT-angiography, fluorescein angiography, fundus photography). Besides that, systemic work-up (including 24h blood pressure measurement, electrocardiogram, and serological blood testing) is conducted.
Patients underwent routine ME treatment including at least 4 monthly anti-VEGF injections, as first-line therapy. Further injections will be conducted if needed. Re-treatment criteria are: persistent intra- and/or subretinal fluid seen on SD-OCT, central subfield thickness > 300 µm. Ophthalmological examination will be repeated at month 3, 6 and month 12. Systemic work-up will be repeated at month 6.
Primary outcome is the correlation of systemic parameters with functional and anatomical response at month 6. Secondary outcome is the correlation of systemic parameters with functional and anatomical response at month 12.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patient with Macular edema | Patients with clinically significant macular edema due to diabetes or retinal vein occlusion, undergoing at least 4 monthly intravitreal anti-VEGF injections. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anti-VEGF | Drug | Patients will undergo as part of the routine care 4 monthly anti-VEGF injections. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Correlation of systemic factors on functional and anatomical outcome at month 6. | Correlation between blood pressure and serological Parameters at baseline and visual acuity/central subfield thickness at month 6. | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| Correlation of systemic factors on functional and anatomical outcome at month 12. | Correlation between blood pressure and serological parameters at baseline and visual acuity/central subfield thickness at month 12. | 12 months |
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Inclusion Criteria:
Exclusion Criteria:
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Adult patients with macular edema due to Diabetes or retinal vein occlusion
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Matus Rehak, MD, PhD | Contact | +493419721650 | matus.rehak@medizin.uni-leipzig.de | |
| Catharina Busch, MD | Contact | +493419721650 | catharina.busch@medizin.uni-leipzig.de |
| Name | Affiliation | Role |
|---|---|---|
| Matus Rehak, MD, PhD | University Hospital Leipzig, Department of Ophthalmology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospital Leipzig, department of ophthalmology | Recruiting | Leipzig | Saxony | 04103 | Germany |
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| ID | Term |
|---|---|
| D008269 | Macular Edema |
| D012170 | Retinal Vein Occlusion |
| ID | Term |
|---|---|
| D008268 | Macular Degeneration |
| D012162 | Retinal Degeneration |
| D012164 | Retinal Diseases |
| D005128 | Eye Diseases |
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Serum and heparine blood sample.
| D020246 |
| Venous Thrombosis |
| D013927 | Thrombosis |
| D016769 | Embolism and Thrombosis |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |