Review Article

Optical Coherence Tomography Angiography of Macular Perfusion Changes after Anti-VEGF Therapy for Diabetic Macular Edema: A Systematic Review

Table 3

Study design, methods, and results of studies that found conflicting effects following treatment.

StudyNo. of eyesDesign of studyImaging modalityAgent used and treatment durationOutcome measureStudy resultsRef.

Busch et al.23 eyes of 23 patients with DMERetrospective case seriesOCTA (Optovue) scan using machine software for VDAflibercept (1-8 monthly injections)Change in built-in machine VD and FAZSCP FAZ increased by 0.07 mm2 and DCP FAZ decreased by 0.04 mm2 ()[45]
Dastiridou et al.20 eyes of 20 patients with DMEProspective case seriesSwept source OCTA (Topcon) and scansAflibercept (3 injections)Change in FAZ area and VDFAZ of DCP and VD of central area decreased ()[46]

DCP: deep capillary plexus; DME: diabetic macular edema; FAZ: foveal avascular zone; OCTA: optical coherence tomography angiography; SCP: superficial capillary plexus; VD: vascular density.