This guidance updates and replaces NICE technology appraisal 237 (published in November 2011).

Update 16 April 2013

The wording of the recommendation describing the patient access scheme has been amended to make it clear which scheme is being referred to.

NICE recommends ranibizumab as a possible treatment for problems with sight due to diabetic macular oedema in some people (see below).

Who can have ranibizumab?

You should be able to have ranibizumab if the central retina (area in the middle of the back of your affected eye) is above a certain thickness (400 micrometres or more) when treatment is started.

Why has NICE said this?

NICE looks at how well treatments work, and also at how well they work in relation to how much they cost the NHS. NICE recommended ranibizumab because it works better than other treatments available on the NHS, and the benefit to patients justifies the cost.

Coming soon

Clinical audit tool.

Your responsibility

The recommendations in this guidance represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, health professionals are expected to take this guidance fully into account, alongside the individual needs, preferences and values of their patients. The application of the recommendations in this guidance is at the discretion of health professionals and their individual patients and do not override the responsibility of healthcare professionals to make decisions appropriate to the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian.

Commissioners and/or providers have a responsibility to provide the funding required to enable the guidance to be applied when individual health professionals and their patients wish to use it, in accordance with the NHS Constitution. They should do so in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities.

Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

  • National Institute for Health and Care Excellence (NICE)