Ocriplasmin not as cost-effective as vitrectomy for vitreomacular adhesion, macular hole

WAIKOLOA, Hawaii — Jetrea may not be as safe or cost-effective as vitrectomy for vitreomacular adhesion and macular hole closure, a speaker told colleagues here.“You’ve got to decide what’s best for your patients, recognizing that ocriplasmin will not achieve a success rate anywhere near that of a single operation, and to look at this issue of cost-adjustment,” William F. Mieler, MD, said at Retina 2016. “Perhaps ocriplasmin is just as expensive as a surgery. These issues are still ongoing. I still use ocriplasmin on occasion, but I think most of my patients opt for a vitrectomy approach, at least in my setting,”

Anti-VEGF use on the rise for treatment of diabetic retinopathy

WAIKOLOA, Hawaii — Current data indicate that anti-VEGF injections are an effective form of treatment for diabetic retinopathy, according to a speaker here. “Our current algorithm is based off some very old but very good data, the Diabetic Retinopathy Study, that was published in Ophthalmology in 1978, so we really have not deviated much from that since that time, and it shows that panretinal photocoagulation reduces the risk of severe vision loss by 50%,” Michael S. Ip, MD, said at Retina 2016. “But it really is an inherently destructive treatment.”