Clinical Study

Triamcinolone and Bevacizumab as Adjunctive Therapies to Panretinal Photocoagulation for Proliferative Diabetic Retinopathy

Table 4

Summary of the studies that evaluated the regression of new vessels in diabetic retinopathy after various treatment modalities.

StudyType of studyEfficacy measureResults

Doft and Blankenship [16]Prospective study. 54 eyes included, with a six-month
followup
Proportion of eyes that showed reduced levels of severity and had 3 or more risk factors72% of these eyes remained stable three weeks after PRP
72% of these eyes remained stable at a six-month visit
Vander et al. [17]Retrospective study. 59 eyes included, with a twelve-month followupNVD moderate-severe: reduction of NVD in 1/3 of DA
Mild NVD: complete regression of NVD
Regression was observed in 62% of these eyes six months after PRP
Reddy et al. [18]Retrospective study. 294 eyes included, with a twelve-month followup4 high-risk characteristics: reduction to 2 or less
2 high-risk characteristics: reduction to 1
Regression was observed in 77% of these eyes one year after PRP
Bandello et al. [9]
Prospective, comparative and randomised study. 9 eyes included per group, with a twelve-month followupReduction of the leakage area of the new vessels based on FA
Observations at three, six, and nine months revealed that 19%, 22%, and 33% reductions of the leakage area, respectively, occurred in the eyes that were treated with laser therapy
Observations at one, six, and nine months revealed that 74%, 84%, and 86% reductions of the leakage area, respectively, occurred in the eyes that were treated with laser therapy and IVT
Zein et al. [10]Prospective study. 35 eyes included with a nine-month followup, and data were compared retrospectively with medical recordsStabilisation: regression or no progression of the new vessels100% of the eyes in the laser group at a nine-month visit
100% of eyes treated with the combination of laser and IVT
IBehi study [14]Prospective, comparative and randomised study. 15 eyes included per group, with a six-month followupReduction of the leakage area of the new vessel based on FA
3.78%, 6.8%, and 11.2% in eyes treated with laser therapy (four, nine, and sixteen weeks, resp.)
94.5%, 93.99%, and 60% in eyes treated with laser therapy and IVB (four, nine, and sixteen weeks, resp.)
Cho et al. [19]Prospective, comparative and randomised study. 19 eyes included per group, with a three-month followupWorsening severity of the retinopathy20% of eyes treated with laser therapy after three months
0% of eyes treated with laser and IVB after three months
Lopez-Lopez et al.Prospective, comparative study. The first 40 eyes were randomised (1 : 1) to a PRP group or to an IVT group. The IVB group included 20 consecutive eyes that met the inclusion criteria. Six-month followupComplete absence of leakage based on FA after treatment was applied 33% and 27.5% in eyes treated with laser therapy (two and six months, resp.)
71.2% and 74.4% in eyes treated with laser therapy and IVT (two and six months, resp.)
98.9% and 76.8% in eyes treated with laser therapy and IVB (two and six months, resp.)

DA: disc area; FA: fluorescein angiography; IVB: intravitreal bevacizumab; IVT: intravitreal triamcinolone; NVD: neovascularisation of the disc; PRP: panretinal photocoagulation.