Comment and Response Document
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چکیده
Comment: I would like to suggest the coverage for Macugen be extended to the treatment of diabetic macular edema. Macugen is a selective anti-VEGF drug which has been approved for the use in exudative ARMD. The injection of Macugen in the treatment of diabetic macular edema has been shown to be effective in improving the vision of patients with diabetic macular edema in the recently published article in Ophthalmology (June 2011). Diabetic patients are at higher risk of adverse side effects of nonselective anti-VEGF drugs such as Avastin. I would like to have the option of treating these higher risk patients with the lower risk, selective anti-VEGF drug, Macugen. My colleagues in most other states already have this option and I would appreciate having this option as well.
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