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Macular edema is one of the main causes of severe vision loss in patients with diabetic retinopathy. In the presence of hard exudates, the prognosis is frequently unfavorable.


Ophthalmology Department, Hospital de Braga, Portugal.


To evaluate the safety and efïcacy of suprachoroidal drug delivery with a microcatheter for the treatment of subfoveal hard exudates.


Eight eyes of eight patients with diabetic macular edema associated with subfoveal hard exudates were submitted to a single treatment with bevacizumab and triamcinolone administered to the suprachoroidal space, using a microcatheter.


Clinical and optical coherence tomographic evaluations of these patients were performed over 6 months follow-up. There were no surgical or postoperative complications. The visual acuity remais stable, although the decrease of the hard exudates.