Effects of Smoking on Outcomes of Anti-Vascular Endothelial Growth Factor Therapy in Patients with Diabetic Macular Edema: A Retrospective Case-Control Study

To determine the effect of smoking on the response to anti-vascular endothelial growth factor (anti-VEGF) therapy treatment in patients with diabetic macular edema (DME). This is a retrospective case - control study that included 60 eyes with DME. Smoking habits were obtained from hospital records a...

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Veröffentlicht in:Middle East African journal of ophthalmology 2022-07, Vol.29 (3), p.116-121
Hauptverfasser: Al Saad, Mouna, Shehadeh, Amin, Hizzani, Asem, Alzibdeh, Abdulla, Alsubhi, Amani A, Hamdan, Dina, Alkubati, Ebtehal, Meqbil, Jehad, Hamadneh, Lina, Ababneh, Osama
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container_title Middle East African journal of ophthalmology
container_volume 29
creator Al Saad, Mouna
Shehadeh, Amin
Hizzani, Asem
Alzibdeh, Abdulla
Alsubhi, Amani A
Hamdan, Dina
Alkubati, Ebtehal
Meqbil, Jehad
Hamadneh, Lina
Ababneh, Osama
description To determine the effect of smoking on the response to anti-vascular endothelial growth factor (anti-VEGF) therapy treatment in patients with diabetic macular edema (DME). This is a retrospective case - control study that included 60 eyes with DME. Smoking habits were obtained from hospital records and patient recall. Patients were divided into two groups: the ever-smoker group and the never-smoker group. All patients received Intravitreal ranibizumab with three loading doses followed by PRN protocol and all were followed up for at least 1 year. Outcome measures were best-corrected visual acuity (BCVA), central retinal thickness (CRT) at the fovea, and number of visits. Smoking was not associated with worse posttreatment visual acuity and was not found to influence the change in ocular coherence tomography measurement of central macular thickness and the change in BCVA (posttreatment minus pretreatment). There were no statistically significant differences in the duration of treatment or number of visits between two groups of patients the ever-smoker group and the never-smoker group ( > 0.05). In this study, smoking status did not influence the treatment outcome of anti-VEGFs; however, smoking should be encouraged due to its well-known other systemic unwanted effects.
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Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright: © 2023 Middle East African Journal of Ophthalmology 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c508t-d839eb29881747589f779cb010dca2f789f9e273d45bae66ecc089a39f11cc8f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319076/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10319076/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37408720$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al Saad, Mouna</creatorcontrib><creatorcontrib>Shehadeh, Amin</creatorcontrib><creatorcontrib>Hizzani, Asem</creatorcontrib><creatorcontrib>Alzibdeh, Abdulla</creatorcontrib><creatorcontrib>Alsubhi, Amani A</creatorcontrib><creatorcontrib>Hamdan, Dina</creatorcontrib><creatorcontrib>Alkubati, Ebtehal</creatorcontrib><creatorcontrib>Meqbil, Jehad</creatorcontrib><creatorcontrib>Hamadneh, Lina</creatorcontrib><creatorcontrib>Ababneh, Osama</creatorcontrib><title>Effects of Smoking on Outcomes of Anti-Vascular Endothelial Growth Factor Therapy in Patients with Diabetic Macular Edema: A Retrospective Case-Control Study</title><title>Middle East African journal of ophthalmology</title><addtitle>Middle East Afr J Ophthalmol</addtitle><description>To determine the effect of smoking on the response to anti-vascular endothelial growth factor (anti-VEGF) therapy treatment in patients with diabetic macular edema (DME). This is a retrospective case - control study that included 60 eyes with DME. Smoking habits were obtained from hospital records and patient recall. Patients were divided into two groups: the ever-smoker group and the never-smoker group. All patients received Intravitreal ranibizumab with three loading doses followed by PRN protocol and all were followed up for at least 1 year. Outcome measures were best-corrected visual acuity (BCVA), central retinal thickness (CRT) at the fovea, and number of visits. Smoking was not associated with worse posttreatment visual acuity and was not found to influence the change in ocular coherence tomography measurement of central macular thickness and the change in BCVA (posttreatment minus pretreatment). There were no statistically significant differences in the duration of treatment or number of visits between two groups of patients the ever-smoker group and the never-smoker group ( &gt; 0.05). 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This is a retrospective case - control study that included 60 eyes with DME. Smoking habits were obtained from hospital records and patient recall. Patients were divided into two groups: the ever-smoker group and the never-smoker group. All patients received Intravitreal ranibizumab with three loading doses followed by PRN protocol and all were followed up for at least 1 year. Outcome measures were best-corrected visual acuity (BCVA), central retinal thickness (CRT) at the fovea, and number of visits. Smoking was not associated with worse posttreatment visual acuity and was not found to influence the change in ocular coherence tomography measurement of central macular thickness and the change in BCVA (posttreatment minus pretreatment). There were no statistically significant differences in the duration of treatment or number of visits between two groups of patients the ever-smoker group and the never-smoker group ( &gt; 0.05). 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source MEDLINE; Medknow Open Access Medical Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; PubMed Central Open Access
subjects Angiogenesis Inhibitors - therapeutic use
Care and treatment
Case-Control Studies
Diabetes
Diabetes Mellitus - drug therapy
Diabetic Retinopathy - complications
Diabetic Retinopathy - diagnosis
Diabetic Retinopathy - drug therapy
Dropsy
Edema
Endothelial Growth Factors - therapeutic use
Humans
Intravitreal Injections
Macular Edema - diagnosis
Macular Edema - drug therapy
Macular Edema - etiology
Medical records
Original
Patient outcomes
Ranibizumab
Retrospective Studies
Smoking - epidemiology
Tomography, Optical Coherence
Vascular endothelial growth factor
Vascular Endothelial Growth Factor A
Visual acuity
title Effects of Smoking on Outcomes of Anti-Vascular Endothelial Growth Factor Therapy in Patients with Diabetic Macular Edema: A Retrospective Case-Control Study
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