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BACKGROUND AND OBJECTIVE: To determine the efficacy of atorvastatin in reducing hard exudates and diabetic macular edema. PATIENTS AND METHODS: An uncontrolled clinical case series included 18 eyes with diabetic maculopathy and an elevated baseline lipid profile. All patients were treated with atorvastatin. Ophthalmologic evaluation, including fundus photography and fluorescein angiography, was performed at presentation and repeated at 3, 6, and 12 months. Hard exudates, hemorrhages, and fluorescein leakage at 12 months were evaluated and compared with baseline findings. RESULTS: Eighteen subjects with diabetic maculopathy received atorvastatin, and a significant decrease in total cholesterol and low-density lipoprotein cholesterol was seen (P < .05). Hard exudates and fluorescein leakage were decreased. No evidence of an association between change in hemorrhage status and treatment was found. CONCLUSION: Oral atorvastatin therapy in patients with diabetes mellitus and dyslipidemia seems to reduce the severity of hard exudates and fluorescein leakage in diabetic maculopathy and could be useful as an adjuvant therapy in the management of diabetic macular edema.

Original publication

DOI

10.3928/15428877-20100430-04

Type

Journal article

Journal

Ophthalmic Surg Lasers Imaging

Publication Date

05/2010

Volume

41

Pages

316 - 322

Keywords

Administration, Oral, Aged, Anticholesteremic Agents, Atorvastatin Calcium, Cholesterol, Diabetes Complications, Diabetic Retinopathy, Female, Fluorescein Angiography, Follow-Up Studies, Fundus Oculi, Hemoglobin A, Glycosylated, Heptanoic Acids, Humans, Hypercholesterolemia, Macular Edema, Male, Middle Aged, Prospective Studies, Pyrroles, Treatment Outcome, Visual Acuity