Li YF, Ren Q, Sun CH, Li L, Lian HD, Sun RX, Su X, Yu H. Efficacy and mechanism of anti-vascular endothelial growth factor drugs for diabetic macular edema patients. World J Diabetes 2022; 13(7): 532-542 [PMID: 36051431 DOI: 10.4239/wjd.v13.i7.532]
Corresponding Author of This Article
Qian Ren, MD, Associate Chief Physician, Department of Ophth-almology, Shijiazhuang City People’s Hospital, No. 365 Jianhua South Street, Yuhua District, Shijiazhuang 050031, Hebei Province, China. qr31535@163.com
Research Domain of This Article
Ophthalmology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Diabetes. Jul 15, 2022; 13(7): 532-542 Published online Jul 15, 2022. doi: 10.4239/wjd.v13.i7.532
Table 1 Baseline data between the two groups
Baseline data
Compaq group (n = 48)
Ranibizumab group (n = 48)
t/χ2 value
P value
Age (yr)
64.8 ± 7.2
66.3 ± 6.9
-1.042
0.300
BMI (kg/m2)
23.5 ± 2.3
23.2 ± 2.8
0.574
0.568
Before treatment: BCVA (LogMAR)
0.78 ± 0.12
0.80 ± 0.11
-0.851
0.397
Gender, n (%)
2.043
0.153
Male
27 (56.25)
20 (41.67)
Female
21 (43.75)
28 (58.33)
Distribution of affected side, n (%)
0.667
0.414
Left
22 (45.83)
26 (54.17)
Right
26 (54.17)
22 (45.83)
Table 2 Comparison of estimated values of best corrected visual acuity, intraocular pressure between the two groups (mean ± SD)
Groups
BCVA (LogMAR)
IOP (mmHg)
Before treatment
1 mo after treatment
3 mo after treatment
Before treatment
1 mo after treatment
3 mo after treatment
Compaq group (n = 48)
0.78 ± 0.12
0.72 ± 0.13
0.51 ± 0.10
16.84 ± 2.77
16.40 ± 2.81
16.39 ± 2.64
Ranibizumab group (n = 48)
0.80 ± 0.11
0.75 ± 0.14
0.57 ± 0.13
16.50 ± 2.80
16.72 ± 2.76
16.81 ± 2.82
t value
-0.851
-1.088
-2.535
0.598
-0.563
-0.753
P value
0.397
0.279
0.013
0.551
0.575
0.453
Table 3 Comparison of estimated values of macular retinal thickness, macular choroidal thickness, foveal no perfusion area between the two groups (mean ± SD)
Groups
Before treatment
1 mo after treatment
3 mo after treatment
CMT (μm)
Compaq group (n = 48)
445.8 ± 89.6
372.1 ± 76.0
210.6 ± 66.4
Ranibizumab group (n = 48)
452.7 ± 93.2
384.0 ± 80.6
243.1 ± 73.5
t value
-0.370
-0.744
-2.273
P value
0.712
0.459
0.025
SFCT (μm)
Compaq group (n = 48)
335.1 ± 55.9
323.4 ± 59.5
281.6 ± 54.0
Ranibizumab group (n = 48)
340.5 ± 58.3
330.5 ± 63.0
306.2 ± 57.3
t value
-0.463
-0.568
-2.165
P value
0.644
0.572
0.033
FAZ (mm2)
Compaq group (n = 48)
0.74 ± 0.10
0.72 ± 0.12
0.73 ± 0.11
Ranibizumab group (n = 48)
0.75 ± 0.12
0.74 ± 0.14
0.74 ± 0.11
t value
-0.444
-0.751
-0.445
P value
0.658
0.454
0.657
Table 4 Comparison of vascular density in the shallow capillary plexus between the two groups (mean ± SD, %)
Groups
Before treatment
1 mo after treatment
3 mo after treatment
Fovea
Compaq group (n = 48)
20.64 ± 4.40
20.30 ± 3.95
20.28 ± 3.77
Ranibizumab group (n = 48)
20.90 ± 4.83
20.48 ± 4.20
20.37 ± 4.14
t value
-0.276
-0.216
-0.111
P value
0.783
0.829
0.912
Parafovea
Compaq group (n = 48)
38.56 ± 4.82
38.10 ± 4.50
37.73 ± 4.72
Ranibizumab group (n = 48)
39.10 ± 5.57
38.67 ± 5.53
38.38 ± 5.28
t value
-0.508
-0.554
-0.636
P value
0.613
0.581
0.526
Overall macular area
Compaq group (n = 48)
35.74 ± 5.10
35.43 ± 4.85
34.92 ± 5.51
Ranibizumab group (n = 48)
36.30 ± 5.34
35.67 ± 5.11
34.58 ± 5.18
t value
-0.525
-0.236
0.311
P value
0.601
0.814
0.756
Table 5 Comparison of vascular density in the deep capillary plexus between the two groups (mean ± SD, %)
Groups
Before treatment
1 mo after treatment
3 mo after treatment
Fovea
Compaq group (n = 48)
18.58 ± 3.80
18.23 ± 3.75
17.86 ± 4.12
Ranibizumab group (n = 48)
19.14 ± 4.00
18.78 ± 4.24
18.47 ± 3.96
t value
-0.703
-0.673
-0.740
P value
0.484
0.502
0.461
Parafovea
Compaq group (n = 48)
40.92 ± 5.73
40.51 ± 4.85
40.38 ± 5.22
Ranibizumab group (n = 48)
40.40 ± 5.51
40.10 ± 5.28
39.56 ± 4.87
t value
0.453
0.396
0.796
P value
0.651
0.693
0.428
Overall macular area
Compaq group (n = 48)
39.64 ± 4.85
39.40 ± 4.77
38.78 ± 4.62
Ranibizumab group (n = 48)
40.43 ± 5.18
39.93 ± 5.03
39.52 ± 4.85
t value
-0.771
-0.530
-0.765
P value
0.442
0.598
0.446
Table 6 Comparison of clinical efficiency between the two groups, n (%)
Groups
Markedly efficiency
Efficient
Invalid
Compaq group (n = 48)
34 (70.83)
13 (27.08)
1 (2.08)
Ranibizumab group (n = 48)
25 (52.08)
19 (39.58)
4 (8.33)
Z value
-1.993
P value
0.046
Table 7 Comparison of incidence of adverse reaction between the two groups, n (%)
Groups
Bulbar conjunctival hemorrhage
Too high intraocular pressure
Adverse reaction
Compaq group (n = 48)
2
1
3 (6.25)
Ranibizumab group (n = 48)
4
2
6 (12.50)
χ2 value
1.333
P value
0.248
Citation: Li YF, Ren Q, Sun CH, Li L, Lian HD, Sun RX, Su X, Yu H. Efficacy and mechanism of anti-vascular endothelial growth factor drugs for diabetic macular edema patients. World J Diabetes 2022; 13(7): 532-542