reviewCellsOct 25, 2022GOLD OA

Diabetic Macular Edema: Current Understanding, Molecular Mechanisms and Therapeutic Implications

Shanghai Jiao Tong University · Shanghai Eye Disease Prevention & Treatment Center · +1 more institution

PubMed
Indexed incrossrefdoajpubmed

Abstract

Diabetic retinopathy (DR), with increasing incidence, is the major cause of vision loss and blindness worldwide in working-age adults. Diabetic macular edema (DME) remains the main cause of vision impairment in diabetic patients, with its pathogenesis still not completely elucidated. Vascular endothelial growth factor (VEGF) plays a pivotal role in the pathogenesis of DR and DME. Currently, intravitreal injection of anti-VEGF agents remains as the first-line therapy in DME treatment due to the superior anatomic and functional outcomes. However, some patients do not respond satisfactorily to anti-VEGF injections. More than 30% patients still exist with persistent DME even after regular intravitreal injection…

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