En este documento se plasma la evaluación de la eficacia y seguridad del uso del producto farmacéutico aflibercept para el tratamiento de la vasculopatía coroidea polipoidal refractaria a antiangiogénicos (bevacizumab o ranibizumab); cuyos resultados sustentaron la no aprobación del uso de esta tecnología sanitaria en EsSalud.

Introduction. This article summarizes the clinical practice guidelines (CPG) for the diagnosis and treatment of diabetic retinopathy and diabetic macular edema of the Health Social Security of Peru (EsSalud). Objective. To provide clinical recommendations based on evidence for the diagnosis and treatment of diabetic retinopathy and diabetic macular edema in EsSalud. Methods. A guidelines elaborating group (GEG) was conformed by medical specialists and methodologists. The GEG formulated 4 clinical questions intended to be answered by this CPG. For each of these questions systematic searches of systematic reviews and primary studies (when considered pertinent) were carried out in PubMed during 2018. Evidence was selected in order to reply each of the proposed clinical questions. The certainty of the evidence was evaluated using the Grading of Recommendati...