Visual acuity and contrast sensitivity outcomes in Indian eyes undergoing photodynamic therapy with intravitreal injection of triamcinolone acetonide in age-related macular degeneration.
Indian J Ophthalmol
;
2007 May-Jun; 55(3): 207-11
Artículo
en Inglés
| IMSEAR
| ID: sea-71587
ABSTRACT
PURPOSE:
To evaluate photodynamic therapy (PDT) with verteporfin along with intravitreal triamcinolone acetonide (IVTA) in the treatment of neovascular age-related macular degeneration (AMD). MATERIALS ANDMETHODS:
This prospective interventional case series included 23 patients (23 eyes) of choroidal neovascularization due to neovascular AMD who were treated with PDT with verteporfin followed by an injection of 4 mg IVTA. The main outcome measures were visual acuity (VA), contrast sensitivity, retreatment frequency with PDT (and triamcinolone) and frequency of side-effects.RESULTS:
Twenty-three eyes underwent PDT with verteporfin followed by IVTA one week later. All patients were followed up for one year. Initial VA ranged from 20/32 to 20/800 and final VA ranged from 20/40 to 20/500 at the end of 12 months. VA stabilized (that is loss/gain < 2 lines) in 19 (82%) eyes. Contrast sensitivity also improved in 16/23 eyes (70%). Lesion type and patient's age had no influence on the outcome, but baseline VA had a borderline statistically significant effect (P =0.059). Six eyes (27%) had an increase in intraocular pressure that required therapy. There were no cases of endophthalmitis, but four eyes (18%) developed significant cataract that required surgery during the follow-up period.CONCLUSION:
The combination of PDT along with IVTA improves contrast sensitivity and stabilizes vision during one-year follow-up.
Texto completo:
Disponible
Índice:
IMSEAR (Asia Sudoriental)
Asunto principal:
Fotoquimioterapia
/
Porfirinas
/
Cuerpo Vítreo
/
Anciano
/
Femenino
/
Humanos
/
Masculino
/
Triamcinolona Acetonida
/
Sensibilidad de Contraste
/
Agudeza Visual
Tipo de estudio:
Estudio observacional
País/Región como asunto:
Asia
Idioma:
Inglés
Revista:
Indian J Ophthalmol
Año:
2007
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS