@article{Ngah2023, 
author = {Nor Fariza Ngah and Nor Asiah Muhamad and Shelina Oli Mohamed and Roslin Azni Abdul Aziz and Nur Hasnah Ma’amor and Nor Azita Ahmad Tarmidzi and Hanizasurana Hashim and Hamisah Ishak and Wan Norliza Wan Muda and Rosiah Muda and Azian Adnan and Rafidah Md Saleh and Hon Seng Wong and Nurfahzura Mohd Jamil and Tara Mary George and Adrian Koh},
title = {Guidelines from an expert panel for the management of diabetic macular edema in the Malaysian population},
year = {2023},
journal = {International Journal of Ophthalmology},
volume = {16},
number = {5},
pages = {712-720},
keywords = {diabetic macular edema, guidelines, consensus, diabetic retinopathy, Malaysia},
url = {https://www.sciopen.com/article/10.18240/ijo.2023.05.07},
doi = {10.18240/ijo.2023.05.07},
abstract = {AIMTo 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.METHODSOn 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.RESULTSThe 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.CONCLUSIONA detail and comprehensive treatment algorithm by Malaysia Retina Group for the Malaysian population provides guidance for treatment allocation of patients with DME.}
}