Older treatment is More Effective than New Treatment in Preserving Sight for Some Patients with Diabetes
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Brief Description:
A promising new drug therapy used to treat abnormal swelling
in the eye proved less effective than traditional laser treatments
in a National Eye Institute study.
Transcript:
Akinso: A promising new drug therapy used to treat abnormal
swelling in the eye proved less effective than traditional laser
treatments in a National Eye Institute study.
Chew: This study compared the standard treatment with laser,
with a more experimental treatment which is the injection of
steroids.
Akinso: Dr. Emily Chew is the Deputy Director of Epidemiology
and Clinical Research at the NEI.
Chew: The steroid could cause an increase
in pressure causing glaucoma, it can also increase the risk
of cataract.
Akinso: The study compared the effectiveness
between treatments on a condition known as diabetic macular
edema. Diabetic macular edema occurs when the center part of
the eye's retina, called the macula, swells -- possibly leading
to blindness. Dr. Chew says between 40 and 45 percent of the
18 million Americans diagnosed with diabetes have vision problems
such as diabetic macular edema.
Chew: Diabetic macular edema occur in patients
with diabetes. The macular refers to the center part of the
eye that gives you best vision. And the retina is perfectly
flat when it's in good health, but with diabetes the blood
vessels leak out fluid and it makes the retina very swollen.
So macular edema is one of the major causes of blurred vision
in diabetics.
Akinso: Ophthalmologists traditionally use lasers to reduce
the swelling in areas of the macula. However, recently, early
reports of success in treating diabetic macular edema with
injections of a corticosteroid called triamcinolone led to
the rise in popularity of this alternative therapy. Dr. Chew
talks about how the two treatment options compared.
Chew: The study showed that at one year the
vision wasn't actually different between the steroid people
and the laser treated folks. At two years, people who had laser
actually did better. So the standard treatment was actually
better than the steroids treatment.
Akinso: Researchers found that, while not as effective as
the laser treatment, corticosteroid treatment did provide some
benefit. Dr. Chew says the findings raise the possibility that
combining laser with the corticosteroids therapy might produce
greater benefit. This is Wally Akinso at the National Institutes
of Health, Bethesda, Maryland.