DME occurs when blood vessels in the retina of patients with diabetes begin to leak into the macula, the part of the eye responsible for detailed central vision. These leaks cause the macula to thicken and swell, progressively distorting acute vision. Ultimately, the swelling may not lead to blindness, but the effect can cause a severe loss in central vision.
Treatment
Laser
For a long time, the standard of care for the treatment of DME was laser photocoagulation because there were few other options. This is a retinal procedure in which a laser is used to cauterise leaky blood vessels or to apply a pattern of burns to reduce edema. However, it can have undesirable side effects, including partial loss of peripheral and night vision.
New therapies have recently been approved and are now being widely used by retinal specialists:
Corticosteroid injections and anti-vascular endothelial growth factor (anti-VEGF) agents
Both of which offer improvements in vision but require multiple injections to maintain a therapeutic effect. In an effort to provide a sustained therapeutic effect to maintain vision improvement in DME, Alimera Sciences has developed a long-acting corticosteroid microimplant.
1 Yau JW, Rogers SL, et al; Meta-Analysis for Eye Disease (META-EYE) Study Group. Diabetes Care. 2012; 35: 556-564
2 International Diabetes Federation Website. http://www.idf.org/diabetesatlas/5e/the-global-burden.