Page last updated: 2024-11-07

prednisone and Macular Edema

prednisone has been researched along with Macular Edema in 18 studies

Prednisone: A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.
prednisone : A synthetic glucocorticoid drug that is particularly effective as an immunosuppressant, and affects virtually all of the immune system. Prednisone is a prodrug that is converted by the liver into prednisolone (a beta-hydroxy group instead of the oxo group at position 11), which is the active drug and also a steroid.

Macular Edema: Fluid accumulation in the outer layer of the MACULA LUTEA that results from intraocular or systemic insults. It may develop in a diffuse pattern where the macula appears thickened or it may acquire the characteristic petaloid appearance referred to as cystoid macular edema. Although macular edema may be associated with various underlying conditions, it is most commonly seen following intraocular surgery, venous occlusive disease, DIABETIC RETINOPATHY, and posterior segment inflammatory disease. (From Survey of Ophthalmology 2004; 49(5) 470-90)

Research Excerpts

ExcerptRelevanceReference
"To compare the relative effectiveness of systemic corticosteroids plus immunosuppression when indicated (systemic therapy) versus fluocinolone acetonide implant (implant therapy) for noninfectious intermediate, posterior, or panuveitis (uveitis)."9.15Randomized comparison of systemic anti-inflammatory therapy versus fluocinolone acetonide implant for intermediate, posterior, and panuveitis: the multicenter uveitis steroid treatment trial. ( Altaweel, MM; Holbrook, JT; Jabs, DA; Kempen, JH; Louis, TA; Sugar, EA; Thorne, JE, 2011)
"To compare the relative effectiveness of systemic corticosteroids plus immunosuppression when indicated (systemic therapy) versus fluocinolone acetonide implant (implant therapy) for noninfectious intermediate, posterior, or panuveitis (uveitis)."5.15Randomized comparison of systemic anti-inflammatory therapy versus fluocinolone acetonide implant for intermediate, posterior, and panuveitis: the multicenter uveitis steroid treatment trial. ( Altaweel, MM; Holbrook, JT; Jabs, DA; Kempen, JH; Louis, TA; Sugar, EA; Thorne, JE, 2011)
"He had a history of chronic myeloid leukemia undergoing ipilimumab therapy."1.56Retinal Vasculitis Associated with Ipilimumab. ( Gonzales, JA; Tsui, E, 2020)
"The mean systemic prednisone (or equivalent) dosage significantly decreased at 3- and 6-month follow-up evaluations compared to baseline (P = 0."1.46Systemic Steroid Sparing Effect of Intravitreal Dexamethasone Implant in Chronic Noninfectious Uveitic Macular Edema. ( Bacherini, D; Cantarini, L; Emmi, G; Fabiani, C; Favale, RA; Franceschini, R; Frediani, B; Fusco, F; Galeazzi, M; Guerriero, S; Iannone, F; Lopalco, G; Tosi, GM; Vannozzi, L; Vitale, A, 2017)
"Occlusive lupus retinal vasculitis has severe visual and systemic consequences (central nervous system vasculitis)."1.40[Retinal vasculopathy in systemic lupus erythematosus: a case of lupus vasculitis and a case of non-vasculitis venous occlusion]. ( Adán, A; Figueras-Roca, M; Fontenla, JR; Llorens, V; Mesquida, M; Pelegrín, L; Rey, A, 2014)
"During follow-up she developed bilateral cystoid macular edema with accompanying visual loss."1.31[Bilateral cystoid macular edema in an older female patient with tubulointerstitial nephritis and uveitis (TINU syndrome)]. ( Thölen, A; Welzl-Hinterkörner, E, 2000)
"Slit-lamp biomicroscopy showed that cystoid macular edema had resolved in 14 eyes (78%) within 9 months postoperatively."1.31Pars plana vitrectomy for cystoid macular edema secondary to sarcoid uveitis. ( Ieki, Y; Kiryu, J; Kita, M; Miyamoto, N; Tanabe, T; Yamashiro, K, 2001)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19902 (11.11)18.7374
1990's0 (0.00)18.2507
2000's7 (38.89)29.6817
2010's8 (44.44)24.3611
2020's1 (5.56)2.80

Authors

AuthorsStudies
Fabiani, C1
Vitale, A1
Emmi, G1
Lopalco, G1
Vannozzi, L1
Bacherini, D1
Guerriero, S1
Favale, RA1
Fusco, F1
Franceschini, R1
Frediani, B1
Iannone, F1
Galeazzi, M1
Tosi, GM1
Cantarini, L1
Tsui, E1
Gonzales, JA1
Figueras-Roca, M1
Rey, A1
Mesquida, M3
Pelegrín, L2
Llorens, V1
Fontenla, JR1
Adán, A3
Choudhry, N1
Vora, RA2
Fonollosa, A1
Hernández Pardines, F1
Tapia-Quijada, H1
Hueso-Abancens, JR1
Dhrami-Gavazi, E1
Goldberg, NR1
Freund, KB1
Ferreyra, HA1
Jayasundera, T1
Khan, NW1
He, S1
Lu, Y1
Heckenlively, JR1
Chanana, B1
Gupta, N1
Azad, RV1
Kempen, JH1
Altaweel, MM1
Holbrook, JT1
Jabs, DA1
Louis, TA1
Sugar, EA1
Thorne, JE1
Llorenç, V1
Ianopol, N1
Cijevschi, I1
Saab, G1
Almony, A1
Blinder, KJ1
Schuessler, R1
Brennan, DC1
Neri, P1
Mariotti, C1
Cimino, L1
Mercanti, L1
Giovannini, A1
Manthey, KF1
Heidemann, H1
Hengst, W1
Welzl-Hinterkörner, E1
Thölen, A1
Kiryu, J1
Kita, M1
Tanabe, T1
Yamashiro, K1
Miyamoto, N1
Ieki, Y1
Mitchell, DJ1
Steahly, LP1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Multicenter Uveitis Steroid Treatment (MUST) Trial[NCT00132691]Phase 4255 participants (Actual)Interventional2005-09-30Completed
Safety and Efficacy of FTY720 in Adult Patients Who Receive a Kidney Transplant[NCT00099801]Phase 30 participants Interventional2005-01-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Cataract - Incident Cataract

(NCT00132691)
Timeframe: 24 months

Interventionpercentage of eyes with uveitis at risk (Number)
Fluocinolone Acetonide Implant90.7
Systemic Therapy44.9

Change in Best-corrected Visual Acuity (Change in the Numbers of Letters Read From a Standard ETDRS Eye Chart) From Baseline to 24 Months in Eyes With Uveitis

Best-corrected visual acuity was measured as the number of letters read from standard logarithmic visual acuity charts by study-certified examiners who were masked to treatment. Visual acuity was measured at all study visits. The primary outcome was eye-specific change in visual acuity from baseline to 2-year follow-up. Positive change values indicate improved vision while negative change values indicate vision has gotten worse. A change of 7.5 letters is considered clinically meaningful. (NCT00132691)
Timeframe: 24 months

Interventionletters (Mean)
Flucinolone Acetonide Implant6.0
Systemic Therapy3.2

Change in Self-reported Vision-related Function as Measured by the National Eye Institute 25-Item Visual Function Questionnaire (NEI-VFQ 25) Vision Targeted Composite Score From Baseline to 24 Months

The NEI-VFQ 25 measures the effect of visual disability/symptoms with generic health and task-oriented domains. The range for the composite score is 0 to 100; higher scores are associated with better visual function. A change of 4 to 6 points is considered to be a clinically meaningful difference. (NCT00132691)
Timeframe: 24 months

Interventionunits on a scale (composite score) (Mean)
Fluocinolone Acetonide Implant11.44
Systemic Therapy6.80

Change in SF-36 Mental Component Score From Baseline to 24 Months

Self-reported health related QoL was measured with the SF 36 survey. The mental component score for the SF 36 is a summary measure of mental health primarily based on the social functioning, role emotional, mental health and vitality domains. The score is scaled to a population norm with a mean of 50 and standard deviation of 10. Higher scores represent better outcomes. The mean change in scores between baseline and 24 months was calculated for each treatment group. (NCT00132691)
Timeframe: 24 months

Interventionunits on a scale (Mean)
Flucinolone Acetonide Implant2.55
Systemic Therapy-1.1

Change in SF-36 Physical Component Score From Baseline to 24 Months

Self-reported health related QoL was measured with the SF 36 survey. The physical component score for the SF 36 is a summary measure of physical health primarily based on the physical functioning, role physical, bodily pain and general health domains of the survey. The score is scaled to a population norm with a mean of 50 and standard deviation of 10. Higher scores represent better outcomes. The mean change in scores between baseline and 24 months was calculated for each treatment group. A 3 to 5 point difference is considered to be clinically meaningful. (NCT00132691)
Timeframe: 24 months

Interventionunits on a scale (Mean)
Flucinolone Acetonide Implant1.15
Systemic Therapy-1.8

Diabetes Mellitus

(NCT00132691)
Timeframe: 24 months

Interventionpercentage of participants (Number)
Flucinolone Acetonide Implant1.0
Systemic Therapy3.6

Glaucoma - Incident

Glaucoma was diagnosed by a glaucoma specialist through review of visual fields, clinical data, and fundus images. (NCT00132691)
Timeframe: 24 months

Interventionpercentage of eyes with uveitis at risk (Number)
Fluocinolone Acetonide Implant16.5
Systemic Therapy4.0

Hyperlipidemia - Incident

LDL greater than or equal to 160 mg/mL (NCT00132691)
Timeframe: 24 months

Interventionpercentage of participants at risk (Number)
Flucinolone Acetonide Implant9.8
Systemic Therapy11.0

Hypertension Diagnosis Requiring Treatment

(NCT00132691)
Timeframe: 24 months

Interventionpercentage of participants (Number)
Flucinolone Acetonide Implant4.6
Systemic Therapy10.5

Intraocular Pressure - Incident IOP Elevation >= 10 mmHg Above Baseline

(NCT00132691)
Timeframe: 24 months

Interventionpercentage of eyes with uveitis at risk (Number)
Fluocinolone Acetonide Implant51.8
Systemic Therapy15.5

Intraocular Pressure - Incident IOP Greater Than or Equal to 24 mm Hg

(NCT00132691)
Timeframe: 24 months

Interventionpercentage of eyes with uveitis at risk (Number)
Flucinolone Acetonide Implant53.1
Systemic Therapy18.7

Intraocular Pressure - Incident IOP Greater Than or Equal to 30 mm Hg

(NCT00132691)
Timeframe: 24 months

Interventionpercentage of eyes with uveitis at risk (Number)
Flucinolone Acetonide Implant32.8
Systemic Therapy6.3

Intraocular Pressure - IOP-lowering Surgery

(NCT00132691)
Timeframe: 24 months

Interventionpercentage of eyes with uveitis at risk (Number)
Flucinolone Acetonide Implant26.2
Systemic Therapy3.7

Intraocular Pressure (IOP) - Incident Use of IOP-lowering Medical Therapy (Percentage of Eyes With Uveitis That Were Not Being Treated With IOP-lowering Medical Therapy at Baseline and Underwent IOP Lowering Therapy During the 24 Month Follow-up.

The percentage of subjects who used topical or systemic treatment for elevated IOP at any time during the 2 year follow-up and were not on IOP-lowering therapy at baseline is reported. (NCT00132691)
Timeframe: 24 months

Interventionpercentage of eyes with uveitis at risk (Number)
Flucinolone Acetonide Implant61.1
Systemic Therapy20.1

Macular Edema

center point macular thickness >= 240 micrometers assessed on OCT (Stratus OCT-3 [Carl Zeiss Meditec, Dublin, CA]) as graded by Central Reading Center (NCT00132691)
Timeframe: 24 months

Interventionpercentage of eyes with uveitis (Number)
Flucinolone Acetonide Implant22
Systemic Therapy30

Mortality

(NCT00132691)
Timeframe: 24 months

Interventionpercentage of participants (Number)
Flucinolone Acetonide Implant1.6
Systemic Therapy0

Uveitis Activity

Uveitis activity was determined by clinician assessment at each study visit. The study ophthalmologist evaluated each eye as active, inactive/never had uveitis or cannot assess. (NCT00132691)
Timeframe: 24 months

Interventionpercentage of eyes with uveitis (Number)
Fluocinolone Acetonide Implant12
Systemic Therapy29

Trials

2 trials available for prednisone and Macular Edema

ArticleYear
Randomized comparison of systemic anti-inflammatory therapy versus fluocinolone acetonide implant for intermediate, posterior, and panuveitis: the multicenter uveitis steroid treatment trial.
    Ophthalmology, 2011, Volume: 118, Issue:10

    Topics: Drug Implants; Drug Therapy, Combination; Female; Fluocinolone Acetonide; Glucocorticoids; Humans; I

2011
Reversible cystoid macular edema secondary to fingolimod in a renal transplant recipient.
    Archives of ophthalmology (Chicago, Ill. : 1960), 2008, Volume: 126, Issue:1

    Topics: Cyclosporine; Drug Therapy, Combination; Fingolimod Hydrochloride; Fluorescein Angiography; Graft Re

2008

Other Studies

16 other studies available for prednisone and Macular Edema

ArticleYear
Systemic Steroid Sparing Effect of Intravitreal Dexamethasone Implant in Chronic Noninfectious Uveitic Macular Edema.
    Journal of ocular pharmacology and therapeutics : the official journal of the Association for Ocular Pharmacology and Therapeutics, 2017, Volume: 33, Issue:7

    Topics: Chronic Disease; Dexamethasone; Drug Implants; Female; Fluorescein Angiography; Glucocorticoids; Hum

2017
Retinal Vasculitis Associated with Ipilimumab.
    Ocular immunology and inflammation, 2020, Aug-17, Volume: 28, Issue:6

    Topics: Administration, Oral; Dexamethasone; Drug Implants; Glucocorticoids; Humans; Immune Checkpoint Inhib

2020
[Retinal vasculopathy in systemic lupus erythematosus: a case of lupus vasculitis and a case of non-vasculitis venous occlusion].
    Archivos de la Sociedad Espanola de Oftalmologia, 2014, Volume: 89, Issue:2

    Topics: Acenocoumarol; Antibodies, Monoclonal, Murine-Derived; Anticoagulants; Antiphospholipid Syndrome; Ca

2014
Diagnostic and Therapeutic Challenges.
    Retina (Philadelphia, Pa.), 2015, Volume: 35, Issue:7

    Topics: Adult; Appendicitis; Blindness; Diagnosis, Differential; Female; Glucocorticoids; Humans; Laparotomy

2015
Uveitic macular oedema after treatment with vemurafenib.
    Acta ophthalmologica, 2015, Volume: 93, Issue:8

    Topics: Adult; Aged; Antineoplastic Agents; Dexamethasone; Drug Implants; Glucocorticoids; Humans; Indoles;

2015
A case of aminoglycosides induced retinal toxicity treated with megadoses of steroids and an intravitreal dexamethasone implant (Ozurdex(®)).
    Archivos de la Sociedad Espanola de Oftalmologia, 2016, Volume: 91, Issue:6

    Topics: Administration, Ophthalmic; Adolescent; Anti-Bacterial Agents; Anti-Inflammatory Agents; Antibiotic

2016
Diagnostic and Therapeutic Challenges.
    Retina (Philadelphia, Pa.), 2016, Volume: 36, Issue:5

    Topics: Acetazolamide; Administration, Oral; Adult; Diagnosis, Differential; Diuretics; Drug Therapy, Combin

2016
Management of autoimmune retinopathies with immunosuppression.
    Archives of ophthalmology (Chicago, Ill. : 1960), 2009, Volume: 127, Issue:4

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Autoantibodies; Autoantigens; Autoimmune Diseases; Azath

2009
Case report: bilateral simultaneous central retinal vein occlusion in Waldenström's macroglobulinemia.
    Optometry (St. Louis, Mo.), 2009, Volume: 80, Issue:7

    Topics: Antineoplastic Combined Chemotherapy Protocols; Blood Proteins; Bone Marrow; Cyclophosphamide; Elect

2009
Tocilizumab treatment for recalcitrant uveitic macular edema.
    Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2013, Volume: 251, Issue:9

    Topics: Administration, Oral; Antibodies, Monoclonal, Humanized; Drug Therapy, Combination; Female; Glucocor

2013
[Macular cystoid edema in eyes with secondary glaucoma after surgery].
    Oftalmologia (Bucharest, Romania : 1990), 2002, Volume: 53, Issue:2

    Topics: Anti-Inflammatory Agents; Dexamethasone; Female; Glaucoma; Humans; Macular Edema; Middle Aged; Ophth

2002
Long-term control of cystoid macular oedema in noninfectious uveitis with Mycophenolate Mofetil.
    International ophthalmology, 2009, Volume: 29, Issue:3

    Topics: Adult; Anti-Inflammatory Agents; Disease Progression; Drug Therapy, Combination; Female; Humans; Imm

2009
[Climatotherapy in chronic inflammations of the uvea].
    Klinische Monatsblatter fur Augenheilkunde, 1984, Volume: 185, Issue:2

    Topics: Adolescent; Chronic Disease; Climate; Combined Modality Therapy; Dexamethasone; Female; Humans; Macu

1984
[Bilateral cystoid macular edema in an older female patient with tubulointerstitial nephritis and uveitis (TINU syndrome)].
    Klinische Monatsblatter fur Augenheilkunde, 2000, Volume: 216, Issue:2

    Topics: Aged; Anti-Inflammatory Agents; Female; Humans; Macular Edema; Nephritis, Interstitial; Prednisone;

2000
Pars plana vitrectomy for cystoid macular edema secondary to sarcoid uveitis.
    Ophthalmology, 2001, Volume: 108, Issue:6

    Topics: Adult; Aged; Betamethasone; Drug Resistance; Female; Glucocorticoids; Humans; Macular Edema; Male; M

2001
Pseudotumor cerebri and macular disease.
    Retina (Philadelphia, Pa.), 1989, Volume: 9, Issue:2

    Topics: Adult; Choroid; Diplopia; Female; Fundus Oculi; Headache; Humans; Intraocular Pressure; Macular Edem

1989