Figure 1: Representative case of a 56-year-old male with recalcitrant DME in the left eye (A) and old laser photocoagulation marks at baseline; visual acuity was 6/60. Diffuse DME is observed on late phase angiogram (B) and cystoid changes with macular thickening is seen on OCT (CMT=688 µm) (C). (D, E, F) Serial OCT images following monthly injection of intravitreal bevacizumab (1.25 mg/0.1 ml) with persistent edema (CMT=650 µm; 732 µm and 768 µm, respectively). OCT images (G, H, I) after 1, 2, and 5 months of intravitreal dexamethasone implant (CMT=328 µm; 200 µm and 125 µm, respectively). There is marked reduction in macular edema (G), the foveal contour is restored (H), the foveal contour is maintained with a persistent intraretinal cyst (I).