Cover Image

Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population

AIM: To derive a Malaysia guideline and consensus as part of the Malaysia Retina Group’s efforts for diagnosis, treatment, and best practices of diabetic macular edema (DME). The experts’ panel suggests that the treatment algorithm to be divided into groups according to involvement the central macul...

Full description

Saved in:
Bibliographic Details
Main Authors: Md Saleh, Rafidah, Wong, Hon Seng, Mohd Jamil, Nurfahzura, Ngah, Nor Fariza, Muhamad, Nor Asiah
Format: Article
Published: Press of International Journal of Ophthalmology 2023
Online Access:http://psasir.upm.edu.my/id/eprint/108136/
http://www.ijo.cn/gjyken/article/issue/2023_16_5
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.upm.eprints.108136
record_format eprints
spelling my.upm.eprints.1081362024-09-10T06:43:29Z http://psasir.upm.edu.my/id/eprint/108136/ Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population Md Saleh, Rafidah Wong, Hon Seng Mohd Jamil, Nurfahzura Ngah, Nor Fariza Muhamad, Nor Asiah AIM: To derive a Malaysia guideline and consensus as part of the Malaysia Retina Group’s efforts for diagnosis, treatment, and best practices of diabetic macular edema (DME). The experts’ panel suggests that the treatment algorithm to be divided into groups according to involvement the central macula. The purpose of DME therapy is to improve edema and achieve the best visual results with the least amount of treatment load. METHODS: On two different occasions, a panel of 14 retinal specialists from Malaysia, together with an external expert, responded to a questionnaire on management of DME. A consensus was sought by voting after compiling, analyzing and discussion on first-phase replies on the round table discussion. A recommendation was deemed to have attained consensus when 12 out of the 14 panellists (85%) agreed with it. RESULTS: The terms target response, adequate response, nonresponse, and inadequate response were developed when the DME patients’ treatment responses were first characterized. The panelists reached agreement on a number of DME treatment-related issues, including the need to classify patients prior to treatment, first-line treatment options, the right time to switch between treatment modalities, and side effects associated with steroids. From this agreement, recommendations were derived and a treatment algorithm was created. CONCLUSION: A detail and comprehensive treatment algorithm by Malaysia Retina Group for the Malaysian population provides guidance for treatment allocation of patients with DME. Press of International Journal of Ophthalmology 2023 Article PeerReviewed Md Saleh, Rafidah and Wong, Hon Seng and Mohd Jamil, Nurfahzura and Ngah, Nor Fariza and Muhamad, Nor Asiah (2023) Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population. International Journal of Ophthalmology, 16 (5). 712 - 720. ISSN 2222-3959; ESSN: 2227-4898 http://www.ijo.cn/gjyken/article/issue/2023_16_5 10.18240/ijo.2023.05.07
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
description AIM: To derive a Malaysia guideline and consensus as part of the Malaysia Retina Group’s efforts for diagnosis, treatment, and best practices of diabetic macular edema (DME). The experts’ panel suggests that the treatment algorithm to be divided into groups according to involvement the central macula. The purpose of DME therapy is to improve edema and achieve the best visual results with the least amount of treatment load. METHODS: On two different occasions, a panel of 14 retinal specialists from Malaysia, together with an external expert, responded to a questionnaire on management of DME. A consensus was sought by voting after compiling, analyzing and discussion on first-phase replies on the round table discussion. A recommendation was deemed to have attained consensus when 12 out of the 14 panellists (85%) agreed with it. RESULTS: The terms target response, adequate response, nonresponse, and inadequate response were developed when the DME patients’ treatment responses were first characterized. The panelists reached agreement on a number of DME treatment-related issues, including the need to classify patients prior to treatment, first-line treatment options, the right time to switch between treatment modalities, and side effects associated with steroids. From this agreement, recommendations were derived and a treatment algorithm was created. CONCLUSION: A detail and comprehensive treatment algorithm by Malaysia Retina Group for the Malaysian population provides guidance for treatment allocation of patients with DME.
format Article
author Md Saleh, Rafidah
Wong, Hon Seng
Mohd Jamil, Nurfahzura
Ngah, Nor Fariza
Muhamad, Nor Asiah
spellingShingle Md Saleh, Rafidah
Wong, Hon Seng
Mohd Jamil, Nurfahzura
Ngah, Nor Fariza
Muhamad, Nor Asiah
Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population
author_facet Md Saleh, Rafidah
Wong, Hon Seng
Mohd Jamil, Nurfahzura
Ngah, Nor Fariza
Muhamad, Nor Asiah
author_sort Md Saleh, Rafidah
title Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population
title_short Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population
title_full Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population
title_fullStr Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population
title_full_unstemmed Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population
title_sort guidelines from an expert panel for the management of diabetic macular edema in the malaysian population
publisher Press of International Journal of Ophthalmology
publishDate 2023
url http://psasir.upm.edu.my/id/eprint/108136/
http://www.ijo.cn/gjyken/article/issue/2023_16_5
_version_ 1811685997615775744
score 13.211869

Similar Items