Intravitreal dexamethasone implant one month before versus concomitant with cataract surgery in patients with diabetic macular oedema: the dexcat study: Acta Ophthalmologica

M Fallico, T Avitabile, N Castellino, A Longo, A Russo, V Bonfiglio, F Parisi, C Furino, G Panozzo, V Scorcia, A Carnevali, F Bandello, M Battaglia Parodi, G Cennamo, S Cillino, M Vadalà, V Sunseri Trapani, C Cagini, T Fiore, M LupidiM Parravano, M Varano, P Giorno, F Boscia, E Giancipoli, C Eandi, Y Le Mer, M Reibaldi

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: To report clinical outcomes of two different timings of intravitreal dexamethasone (DEX) implant administration for prevention of diabetic macular oedema (DME) worsening following cataract surgery. Methods: This multicentre, retrospective study included patients with DME who received an intravitreal DEX implant 1 month before cataract surgery, ‘precataract DEX’ group, or at the time of cataract surgery, ‘concomitant treatments’ group. Inclusion criteria were a follow-up ≥3 months and ophthalmological examination with optical coherence tomography (OCT) imaging at baseline (cataract surgery) and throughout follow-up. Anatomical improvement was considered to be a decrease in OCT central subfield (CSF) thickness ≥20% compared to baseline. The primary outcomes were anatomical and functional results at 3 months. Results: Two hundred twenty-one patients were included: 136 in the ‘precataract DEX’ group and 85 in the ‘concomitant treatments’ group. At 3 months, a reduction of CSF thickness ≥ 20% was found in 7.3% of eyes in the ‘precataract DEX group’ and in 83.7% of eyes in the ‘concomitant treatments’ group (p 
Original languageEnglish
Pages (from-to)e74-e80
JournalActa Ophthalmologica
Volume99
Issue number1
DOIs
Publication statusPublished - 2021

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