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Intravitreal Anti-vascular Endothelial Growth Factor for Treating Polypoidal Choroidal Vasculopathy with Grape-like Polyp Clusters
Korean J. Ophthalmol ; Korean J. Ophthalmol;: 272-279, 2016.
Article de En | WPRIM | ID: wpr-51223
Bibliothèque responsable: WPRO
ABSTRACT
PURPOSE: To evaluate 12-month outcomes of anti-vascular endothelial growth factor (VEGF) therapy for polypoidal choroidal vasculopathy (PCV) with grape-like polyp clusters. METHODS: This retrospective observational study included 23 eyes of 23 patients who were newly diagnosed with PCV with grape-like polyp clusters, and who were subsequently treated with anti-VEGF monotherapy. The study compares the best-corrected visual acuity (BCVA) of the patients at diagnosis, at 3 months, and at 12 months after diagnosis. In addition, 12-month changes in BCVA values were compared between cases with subfoveal or juxtafoveal polyps and cases with extrafoveal polyps. RESULTS: The baseline, 3-month, and 12-month logarithm of the minimal angle of resolution BCVA was 0.62 ± 0.35, 0.50 ± 0.43, and 0.58 ± 0.48, respectively. Compared to the baseline, patient BCVA was not significantly different at 12 months after diagnosis (p = 0.764). Six eyes (26.1%) gained ≥0.2 logarithm of the minimal angle of resolution BCVA. In cases with subfoveal or juxtafoveal polyps, BCVA values at baseline and at 12 months after diagnosis were 0.66 ± 0.37 and 0.69 ± 0.53, respectively. In cases with extrafoveal polyps, the values were 0.54 ± 0.33 and 0.37 ± 0.31, respectively. Changes in BCVA values were significantly different between the two groups (p = 0.023). CONCLUSIONS: Although anti-VEGF therapy has favorable short-term efficacy for treating PCV with grape-like polyp clusters, long-term visual improvements are generally limited in the majority of afflicted eyes. The presence of subfoveal or juxtafoveal polyps may suggest unfavorable treatment outcomes.
Sujet(s)
Mots clés
Texte intégral: 1 Indice: WPRIM Sujet Principal: Polypes / Angiographie fluorescéinique / Études rétrospectives / Études de suivi / Choroïde / Néovascularisation choroïdienne / Inhibiteurs de l'angiogenèse / Facteur de croissance endothéliale vasculaire de type A / Tomographie par cohérence optique / Injections intravitréennes Type d'étude: Observational_studies / Prognostic_studies Limites du sujet: Aged / Female / Humans / Male langue: En Texte intégral: Korean J. Ophthalmol Année: 2016 Type: Article
Texte intégral: 1 Indice: WPRIM Sujet Principal: Polypes / Angiographie fluorescéinique / Études rétrospectives / Études de suivi / Choroïde / Néovascularisation choroïdienne / Inhibiteurs de l'angiogenèse / Facteur de croissance endothéliale vasculaire de type A / Tomographie par cohérence optique / Injections intravitréennes Type d'étude: Observational_studies / Prognostic_studies Limites du sujet: Aged / Female / Humans / Male langue: En Texte intégral: Korean J. Ophthalmol Année: 2016 Type: Article