Diabetic Macular Edema Pathophysiology: Vasogenic versus Inflammatory

Figure 3

Evolution of a patient with diabetic macular edema, from 2012 to 2015. The patient did not respond to anti-VEGF but to steroids. Perhaps, the hyperreflective retinal spots, seen in the first tomography in the outer plexiform layer temporal to the fovea, can be a predictive sign of a positive response to steroids.