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    Outcomes differ from trials with ‘real-world’ anti-VEGF therapy for DME

    Anti-vascular endothelial growth factor (anti-VEGF) therapy is the first-line treatment in the United States that physicians treat patients with decreased vision due to diabetic macular edema (DME), with an overwhelming 95% choosing an anti-VEGF drug.

    Dr. Ciulla

    Specifically, bevacizumab (Avastin, Genentech) was the runaway favorite over ranibizumab (Lucentis, Genentech), and aflibercept (Eylea, Regeneron Pharmaceuticals), according to the 2016 Preferences & Trends Survey of the American Society of Retina Specialists.

    The DRCR Protocol T indicated that among these 3 agents, patients gained an average of 12 letters of vision after 2 years. Another important finding was that patients with worse visual acuity at baseline achieved more visual acuity improvements than those with better visual acuity at baseline.

     

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