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Table 2 Outcomes at 3-months follow up

From: Suprachoroidal injection of triamcinolone acetonide plus intravitreal bevacizumab in diabetic macular edema: a randomized pilot trial

Outcome

Monotherapy arm (three monthly IVB)

n = 32

Combination arm (single dose of SCTA + three monthly IVB)

n = 26

Mean difference (combination – monotherapy)

(95% CI) a

Linear mixed-effects model analysis (combination vs monotherapy)

(95% CI) b

Visual acuity (log MAR)

 Baseline c

0.79 (0.29)

0.80 (0.32)

0.00 (−  0.15 to 0.17) P = 0.91

 4 weeks c

0.70 (0.27)

0.59 (0.36)

 Change (4 weeks – baseline) d

- 0.09 (0.07)

- 0.20 (0.10)

- 0.11 (− 0.21 to - 0.01) P = 0.010

 Within group analysis e

P = 0.22

P = 0.046

 12 weeks c

0.59 (0.24)

0.42 (0.30)

 Change (12 weeks – baseline) d

- 0.20 (0.07)

- 0.37 (0.09)

- 0.17 (−  0.38 to - 0.05) P = 0.004

- 0.15 (− 0.27 to - 0.03) P = 0.014

 Within group analysis e

P = 0.004

P < 0.001

 

Visual acuity (ETDRS Letter scores)

 Baseline

46 (14)

45 (16)

0 (− 8 to 8) P = 0.91

 4 weeks

50 (13)

55 (18)

 Change (4 weeks – baseline)

4 (4)

10 (5)

6 (1 to 11) P = 0.010

 Within group analysis

P = 0.22

P = 0.046

 12 weeks

55 (12)

64 (15)

 Change (12 weeks – baseline)

10 (3)

18 (4)

9 (3 to 14) P = 0.005

7 (1 to 13) P = 0.018

 Within group analysis

P = 0.004

P < 0.001

 No.(%) ≥ 15 ETDRS Letter scores improvement

12 (37.5%)

12 (46.2%)

P = 0.59 f

Central subfield thickness

(μm)

 Baseline

520 (116)

524 (153)

4 (−  67 to 75) P = 0.91

 4 weeks

444 (117)

337 (107)

 Change (4 weeks – baseline)

- 76 (31)

- 187 (42)

- 111 (−  270 to - 48) P = 0.010

 Within group analysis

P = 0.015

P < 0.001

 12 weeks

413 (109)

348 (132)

 Change (12 weeks – baseline)

- 108 (28)

- 176 (37)

- 69 (−  131 to - 7) P = 0.038

- 48 (− 89 to - 8) P = 0.019

 Within group analysis

P < 0.001

P < 0.001

 No. below sex-specific normal threshold values (%) g

8 (25%)

14 (53.8%)

P = 0.032 f

Macular volume (mm3)

 Baseline

11.4 (1.8)

11.3 (2.3)

- 0.1 (− 1.2 to 1) P = 0.83

 4 weeks

10.7 (1.5)

9.6 (1.1)

 Change (4 weeks – baseline)

- 0.7 (0.4)

- 1.6 (0.6)

- 0.9 (− 2.1 to - 0.3) P = 0.027

 Within group analysis

P = 0.11

P = 0.007

 12 weeks

10.4 (1.5)

9.9 (1.9)

 Change (12 weeks – baseline)

- 1.0 (0.4)

- 1.4 (0.5)

- 0.4 (−1.0 to 0.1) P = 0.19

- 0.5 (− 1.0 to - 0.1) P = 0.027

 Within group analysis

P = 0.020

P = 0.011

Intraocular pressure (mmHg)

 Baseline

14.9 (2.7)

15.3 (3.2)

0.4 (−  1.2 to 1.9) P = 0.65

 4 weeks

15.0 (1.9)

16 (3.1)

 Change (4 weeks – baseline)

0.1 (0.6)

0.7 (0.9)

0.6 (− 0.2 to 1.5) P = 0.18

 Within group analysis

P = 0.93

P = 0.42

 

 12 weeks

15.5 (2.2)

16.1 (2.6)

 

 Change (12 weeks – baseline)

0.6 (0.6)

0.8 (0.8)

0.2 (−  0.8 to 1.2) P = 0.65

0.6 (− 0.2 to 1.4) P = 0.13

 Within group analysis

P = 0.28

P = 0.31

  1. a Comparing the mean differences of each study outcome was performed using independent samples t-test
  2. b Adjustment was made for baseline values of study outcomes when a practical or statistical significance was detected
  3. c Values of each study outcome are reported as mean (SD) at baseline, four-weeks and twelve-weeks measurements
  4. d Values of changes (4 weeks – baseline, 12 weeks – baseline) are reported as mean (SEM)
  5. e Within group analysis of each study outcome was performed using linear mixed-effects model
  6. f Based on chi-squared test
  7. g Sex-specific normal threshold values were defined as central subfield thickness less than 320 μm in male and 305 μm in female participants measured by spectral domain optical coherence tomography (Heidelberg, Spectralis) [8]
  8. Abbreviations: IVB intravitreal bevacizumab, SCTA suprachoroidal triamcinolone acetonide, CI confidence interval, Log MAR logarithm [minimum angle of resolution], mean, ETDRS Early Treatment Diabetic Retinopathy Study, SD standard deviation, SEM standard error of mean, ETDRS early treatment diabetic retinopathy study