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Type de présentationE-poster
TitreShort-Term Clinical Outcomes of Patients with Diabetic Macular Edema Following a Therapy Switch to Faricimab
ButWe investigated short-term clinical outcomes in patients with diabetic macular edema (DME) after switching to intravitreal Faricimab (IVF).
MéthodesA retrospective chart review was conducted on DME patients who showed insufficient responses to prior therapy and were switched to IVF. Data included patient demographics, medical history, best-corrected visual acuity (BCVA), central retinal thickness (CRT) and central retinal volume (CRV). Functional and structural changes were analyzed, Faricimab responders and reduced responders were compared and factors influencing follow-up BCVA and CRT were assessed.
Résultats25 eyes from 16 patients were included. After switching to IVF, mean BCVA showed no improvement, changing from 59.4±13.4 to 61.4±12.8 ETDRS letters (p=0.26). CRT reduced from 414.4±126.3 µm to 353.3±131.1 µm (p<0.011) and CRV decreased from 2.8±0.5 mm³ to 2.6±0.6 mm³ (p<0.012). Seven patients met responder criteria with at least a 5 ETDRS letter gain and 30 µm CRT reduction. Higher baseline BCVA (p<0.001) was associated with better BCVA post-IVF and higher baseline CRT (p<0.003), greater number of prior anti-VEGF agents (p<0.034) and prior corticosteroid injections (p<0.019) were linked to greater CRT at follow-up.
ConclusionFollowing the initial IVF series, anatomical improvements were observed, though no significant functional improvement was noted, with visual acuity remaining stable. Baseline BCVA, CRT, number of prior anti-VEGF agents and corticosteroid injections influenced post-IVF outcomes.
Conflit d'intérêtNon
Auteurs 1
NomWOLFRUM
InitialesP
InstitutUniversity Medical Center of the Johannes Gutenberg-University
VilleMainz
Auteurs 2
NomStoffelns
InitialesB
InstitutUniversity Medical Center of the Johannes Gutenberg-University
VilleMainz
Auteurs 3
NomPfeiffer
InitialesN
InstitutUniversity Medical Center of the Johannes Gutenberg-University
VilleMainz
Auteurs 4
NomKorb
InitialesC
InstitutUniversity Medical Center of the Johannes Gutenberg-University
VilleMainz
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