Efficiency of fenofibrate in facilitating the reduction of central macular thickness in diabetic macular edema.
Indian J Ophthalmol
; 66(1): 98-105, 2018 01.
Article
em En
| MEDLINE
| ID: mdl-29283132
ABSTRACT
PURPOSE:
The purpose of this study is to study the benefit of addition of oral fenofibrate to the current regimen of diabetic macular edema (DME) management and quantify its effect on macular thickness and visual function in DME.METHODS:
Fifty-three eyes of 50 patients were randomized into treatment (Group A) (oral fenofibrate 160 mg/day) and control groups (Group B). Both groups underwent treatment of DME as per the standard treatment protocol of our hospital including intravitreal injections (anti-vascular endothelial growth factor/steroid) and grid laser. Patients were followed up every 2 months to note the visual acuity and central macular thickness (CMT) for 6 months.RESULTS:
Our groups were matched with respect to age (P = 0.802), mean diabetic age (P = 0.878), serum HbA1C levels (P = 0.523), and serum triglyceride levels (P = 0.793). The mean reduction in CMT was 136 µ in Group A and 83 µ in Group B at the end of 6 months. This difference was statistically significant (P = 0.031). Visual acuity improvement was 0.15 in Group A and 0.11 in Group B at the end of 6 months (P = 0.186). On subgroup analysis in Group A, we found that there was no difference in reduction of CMT between hypertensives and normotensives (P = 0.916), in patients with normal triglyceride levels and increased triglyceride levels (P = 0.975).CONCLUSION:
Addition of fenofibrate to the standard protocol of DME management seems to facilitate reduction of CMT and probably have an added benefit on the visual functions.
Texto completo:
1
Bases de dados:
MEDLINE
Assunto principal:
Fenofibrato
/
Edema Macular
/
Tomografia de Coerência Óptica
/
Retinopatia Diabética
/
Macula Lutea
Tipo de estudo:
Clinical_trials
/
Diagnostic_studies
/
Etiology_studies
/
Guideline
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Indian J Ophthalmol
Ano de publicação:
2018
Tipo de documento:
Article
País de afiliação:
Índia