DIAGNOSING AND TREATING A PATIENT LIKE ROLAND

Funduscopic appearance of anti-VEGF- treatment naïve patient with 20/100 baseline vision and Diabetic Macular Edema with prior laser treatment
Funduscopic appearance of anti-VEGF- treatment naïve patient with 20/100 baseline vision and Diabetic Macular Edema with prior laser treatment

For a patient with diabetic macular edema (DME), the overarching goal is to preserve vision. You can help drive patient outcomes through early detection, monitoring, and timely referral.1-3 DME is a complication of diabetic retinopathy (DR) that can occur at any time.4 A severity scale can help identify and standardize the clinical features of DR at various stages and allow for early detection and timely intervention.1,5-7

Learn More

Prior Laser Treatment

Roland

Male

68 years of age

DME, OD

Onset 6 months

Focal laser; no previous anti-VEGF treatment

Clinical Findings

ETDRS-DRSS: Moderate NPDR (level 43)

ETDRS Letters: 50

Snellen Equivalent: 20/100

CRT: 442 μm

HbA1c: 8.1

Medical History

Comorbidities: NPDR, retinal detachment, scleral buckle, cataracts, dry AMD, posterior chamber lens, primary open-angle glaucoma

Familial: Grandmother had type 2 diabetes with vision loss

Note: This is a representative case example that you may encounter in clinical practice.

AMD = age-related macular degeneration; anti-VEGF = anti–vascular endothelial growth factor; CRT = central retinal thickness; ETDRS-DRSS = Early Treatment Diabetic Retinopathy Study–Diabetic Retinopathy Severity Scale; HbA1c = glycated hemoglobin; NPDR = nonproliferative diabetic retinopathy.

Insurance

Medicare

Timely Refer Appropriate Patients to a Retina Specialist Who Can Treat DME2,3

See More Important Safety Information and Indications
  • CONTRAINDICATIONS: EYLEA® (aflibercept) Injection is contraindicated in patients with ocular or periocular infections, active intraocular inflammation, or known hypersensitivity to aflibercept or to any of the excipients in EYLEA.
Important Safety Information and Indications INDICATIONS

EYLEA® (aflibercept) Injection 2 mg (0.05 mL) is indicated for the treatment of patients with Neovascular (Wet) Age-related Macular Degeneration (AMD), Macular Edema following Retinal Vein Occlusion (RVO), Diabetic Macular Edema (DME), and Diabetic Retinopathy (DR).

Please see the full Prescribing Information for EYLEA.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

The information provided in this site is intended for U.S. Doctors of Optometry.

References:

  1. Early Treatment Diabetic Retinopathy Study Research Group. Fundus photographic risk factors for progression of diabetic retinopathy. ETDRS report number 12. Ophthalmology. 1991;98(5 suppl):823-833.
  2. Care of the Patient With Diabetes Mellitus: Quick Reference Guide. American Optometric Association website. http://bit.ly/2M22OUJ. Accessed January 14, 2020.
  3. Ferrucci S, Yeh B. Diabetic retinopathy by the numbers. Rev Optom. June 15, 2016. http://bit.ly/2KNNJ4E. Accessed January 14, 2020.
  4. Macular Edema. National Eye Institute, National Institutes of Health website. http://bit.ly/2MGKMVG. Accessed January 14, 2020.
  5. Davis MD, Fisher MR, Gangnon RE, et al; for the Early Treatment Diabetic Retinopathy Study Research Group. Risk factors for high-risk proliferative diabetic retinopathy and severe visual loss: Early Treatment Diabetic Retinopathy Study report #18. Invest Ophthalmol Vis Sci. 1998;39(2):233-252.
  6. Staurenghi G, Feltgen N, Arnold JJ, et al. Impact of baseline Diabetic Retinopathy Severity Scale scores on visual outcomes in the VIVID-DME and VISTA-DME studies. Br J Ophthalmol. 2018;102(7):954-958.
  7. American Academy of Ophthalmology. Preferred Practice Pattern®: Diabetic Retinopathy. http://bit.ly/2SX3H2D. Accessed January 14, 2020.