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Table 1.

Baseline clinical characteristics of the patients with diabetic macular edema.

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Fig 1.

Measurement and evaluation of DME at baseline and post-IVR.

OCT findings at baseline and 1 month post-IVR. (A-D) Macular thickness was measured on OCT images using thickness-map mode with an ETDRS 9-zone grid. (B,D) Thickness-map showing the average retinal thickness (μm) in each grid, which projects to the fundus of the eye.

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Fig 2.

Classification of DME.

DME was categorized according to extent and form. The ETDRS grid was divided into two zones: the central circle with a diameter of 1 mm (zone 1); and the outer circle with a diameter of 6 mm (zone 2). Zone 2 allowed the evaluation of larger areas of macular edema. In addition, macular edema was also defined as diffuse if retinal thickness was at least ±30% beyond the reference thickness of zone 1; otherwise, it was defined as non-diffuse.

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Fig 3.

Measurement method of cytokine concentration (the example of eotaxin-1).

After plotting the standard curve of eotaxin-1, the fluorescence intensity (FI) of each sample was measured, and the value read from the standard curve was defined as the concentration. S1—S6 are standard samples. S1[9298.11 (concentration), 25760.9 (FI)], S6[3.37 (concentration), 21.9 (FI)]. The detection limit of eotaxin-1 was 3.367 pg/mL. LLOQ = lower limit of quantification ULOQ = upper limit of quantification.

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Fig 4.

Changes in aqueous humor cytokine concentrations post-IVR.

Changes in aqueous humor cytokine concentrations in the 13 eyes between baseline and 1 month post-IVR are shown (IL-6 review of 12 eyes). Eotaxin-1 concentration decreased significantly in aqueous humor samples after IVR (n = 13; P = 0.047). IL-6 concentration also tended to decrease after IVR (n = 12; P = 0.075).

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Table 2.

Relationship between baseline cytokine concentration and IVR-Induced DME reduction (n = 13).

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Table 2 Expand

Table 3.

Relationship between changes in cytokine concentration and changes in macular thickness before and after IVR (n = 13).

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Table 4.

Cytokine concentrations according to DME type (n = 13).

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Table 4 Expand