Journal
BRITISH JOURNAL OF OPHTHALMOLOGY
Volume 97, Issue 11, Pages 1447-1450Publisher
BMJ PUBLISHING GROUP
DOI: 10.1136/bjophthalmol-2012-302973
Keywords
Angiogenesis; Drugs; Macula; Retina
Categories
Funding
- Spanish Ministry of Health
- Instituto de Salud Carlos III
- Red Tematica de Investigacion Cooperativa en Salud 'Patologia ocular del envejecimiento, calidad visual y calidad de vida' [RD07/0062/0019]
Ask authors/readers for more resources
Objective To report the visual outcome after 4-year follow-up in a series of highly myopic eyes with choroidal neovascularisation (CNV) treated with antivascular endothelial growth factor (anti-VEGF) drugs. Methods A retrospective, non-randomised, multicentre, consecutive, interventional case series study was performed. 92 highly myopic eyes with subfoveal CNV were treated with intravitreal injection (IVI) of anti-VEGF. The initial protocol (1 vs 3 injections) was dictated by surgeons' preferences and followed by an as-needed monthly regime. Best-corrected visual acuity (BCVA) was evaluated at baseline and then monthly. The primary aim was to analyse BCVA changes. The effect of age, spherical equivalent (SE) and treating drug were evaluated as secondary objectives. Results The mean age of the patients was 57years (SD 14, range 30-93). The mean number of letters read was 46.1 (SD 16.8, range 5-70) at baseline, 55.5 (SD 18.6, range 10-85) at 12months, 50.1 (SD 20.1, range 5-82) at 24months, 54.2 (SD 21.9, range 2-85) at 36months and 53.1 (SD 22.5, range 1-83) at 48months (p=0.000, initial vs 12, 24 and 36months; p=0.01 initial vs 48months; Student t test for paired data). The mean total number of IVI was 4.9 (SD 5.4, range 1-29). SE and treating drug had no influence on the final visual outcome and number of injections required. Conclusions Intravitreal bevacizumab and ranibizumab are effective therapies and show similar clinical effects in highly myopic CNV. Visual acuity gain is maintained at 4-year follow-up.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available