Recalcitrant Diabetic Macular Oedema: Therapeutic Options

tonometry. Biomicroscopic examination of macula in both the eyes showed bilateral clinically significant macular oedema. He underwent digital fundus fluorescein angiography (Figure 1). Based on FFA he received bilateral perifoveal laser photocoagulation on 1 December 2004. He was reviewed 3 months following laser photocoagulation when his visual acuity was stable at 6/12 N6 in right eye and 6/36 N12 in the left eye. Optical Coherence Tomography of the left eye showed persistent macular edema with cystoid changes. A 63 year old gentleman with history of diabetes mellitus of 10 years duration presented to us with defective vision in both eyes of 6 months duration on November 23 2004.There was no previous treatment history of diabetic retinopathy, no history of associated hypertension or ischaemic heart disease. Metabolic control of diabetes was adequate. No abnormal lipid parameters. On examination best corrected visual acuity was 6/18 N8 in the right eye and 6/36 N12 in the left eye. Intra ocular pressure was normal with applanation