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Do you need to treat macular edema everytime?

Session Details

Session Title: Quick Fire Free Paper Session 02

Session Date/Time: Thursday 26/09/2013 | 14:30-16:00

Paper Time: 15:05

Venue: Hall G1 (Level 2)

First Author: M.Uparkar INDIA

Co Author(s):                  

Abstract Details

Purpose:

To describe the non-ophthalmic medical management of macular edema

Setting:

Single center , observational study

Methods:

4 eyes of 4 patients with macular edema were observed for a period of 6 months or more . Diabetic macular edema was seen in 3 cases while a single patient was suffering from Central retinal vein occlusion with macular edema . Comprehensive drug history was obtained from all cases

Results:

Pioglitazone therapy was noted as the cause for persistent macular edema in 2 patients . Stopping Pioglitazone resulted in reduction of macular edema in both cases. Pregabalin therapy was seen to worsen macular edema in the patient with central retinal vein occlusion . On stopping treatment with Pregabalin, macular edema resolved . Uncontrolled Hypertension was noted to worsen macular edema in the fourth case . with control of hypertension ,macular edema promptly resolved .

Conclusions:

Complete drug history and ancillary medical treatment can help in identifying triggers which can worsen macular edema( pregabalin) or prevent resolution ( Pioglitazone) . Physicians should nuance the management of macular edema after careful review of drug and medical history of all DME patients

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