
pmid: 27816486
To describe functional/morphological outcomes of treat-and-extend (TAE) with aflibercept in different subtypes of neovascularizations (CNV) secondary to exudative age-related macular degeneration (AMD).Retrospective study was conducted on 30 eyes of 30 patients treated with 2 mg-aflibercept according to a TAE protocol. Examinations included best corrected visual acuity (BCVA), number of injections, and visits needed. A quantitative/qualitative analysis was also performed with fluorescein angiography and spectral-domain optical coherence tomography (SD-OCT) at baseline, and at 3, 6, and 12 months.BCVA significantly improved from 0.61±0.26 logMAR to 0.38±0.34 logMAR. Among the total AMD patients, type 1 CNV was diagnosed in 11 eyes (36%), type 2 CNV in 7 eyes (23%), mixed CNV in 5 eyes (16%), and type 3 CNV or retinal angiomatous proliferation (RAP) in 7 eyes (23%). The final mean number of injections was 7.5±1.65, 8.71±0.76, 7.4±0.89, 7.2±0.7, and number of visits 6.6±2.17, 7.89±1.46, 5.8±1.7, and 7.14±1.57, respectively in type 1, type 2, mixed, and type 3 or RAP. There was no difference between the different subtypes of CNV (P>.05).Aflibercept in TAE is effective for all exudative-AMD subtypes. No significant differences in patient's visual gain, mean number of injections, or number of visits needed were found among the subtypes of CNV.
Aged, 80 and over, Male, Recombinant Fusion Proteins, Visual Acuity, Angiogenesis Inhibitors, Choroidal Neovascularization, Receptors, Vascular Endothelial Growth Factor, Treatment Outcome, Intravitreal Injections, Wet Macular Degeneration, Humans, Female, Fluorescein Angiography, Tomography, Optical Coherence, Aged, Retrospective Studies
Aged, 80 and over, Male, Recombinant Fusion Proteins, Visual Acuity, Angiogenesis Inhibitors, Choroidal Neovascularization, Receptors, Vascular Endothelial Growth Factor, Treatment Outcome, Intravitreal Injections, Wet Macular Degeneration, Humans, Female, Fluorescein Angiography, Tomography, Optical Coherence, Aged, Retrospective Studies
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