Document Detail


LONG-TERM RESULTS OF INTRAVITREAL RANIBIZUMAB, INTRAVITREAL RANIBIZUMAB WITH PHOTODYNAMIC THERAPY, AND INTRAVITREAL TRIAMCINOLONE WITH PHOTODYNAMIC THERAPY FOR THE TREATMENT OF RETINAL ANGIOMATOUS PROLIFERATION.
MedLine Citation:
PMID:  22466469     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
PURPOSE: To compare intravitreal ranibizumab, intravitreal ranibizumab plus photodynamic therapy (PDT), and intravitreal triamcinolone plus PDT in retinal angiomatous proliferation, presenting the results of a 3-year follow-up. METHODS: Thirty-seven eyes of 37 patients with retinal angiomatous proliferation were randomized to 1 of the 3 groups. Group 1 (n = 13) received 3 monthly injections of 0.5 mg ranibizumab, Group 2 (n = 13) received 1 session of PDT and 3 monthly injections of ranibizumab, and Group 3 (n = 11) received 1 session of PDT and 1 injection of 4 mg triamcinolone. Retreatment, with the same therapeutic scheme in each group, was considered in case of persistence or recurrence of subretinal/intraretinal fluid. RESULTS: Twelve patients in Groups 1 and 2 and 9 patients in Group 3 completed the 3-year follow-up. A total of 58% of patients in Group 1, 50% in Group 2, and 88.9% in Group 3 had the same or better visual acuity at the end of the follow-up (P = 0.081). Patients in Group 3 exhibited considerable improvement in visual acuity (P = 0.032) and statistically significant decrease in central retinal thickness (P < 0.0001) than the 2 other groups at the end of the follow-up. Also, the patients in Group 3 received on average the lowest number of injections (P < 0.0001). Of note, geographic atrophy mainly at the place of previous retinal angiomatous proliferation lesion was detected in 0% in Group 1, 25% in Group 2, and 55.6% in Group 3 (P = 0.203), while 33.3% of patients in Group 1 developed retinal scar. CONCLUSION: Treatment with ranibizumab or ranibizumab plus PDT resulted in stabilization of the disease, while treatment with IVT plus PDT achieved better results in terms of functional and anatomical features compared with the other groups.
Authors:
Alexandros A Rouvas; Irini P Chatziralli; Panagiotis G Theodossiadis; Marilita M Moschos; Athanasios I Kotsolis; Ioannis D Ladas
Related Documents :
17575749 - Quality of life after laparoscopic adjustable gastric banding using the baros and moore...
16636549 - Surgery for obesity: panacea or pandora's box?
18539539 - Revisional surgery after failed laparoscopic adjustable gastric banding.
21997589 - Results obtained with a new superelastic nitinol stapes prosthesis in stapes surgery.
10347289 - Laparoscopic gastric reduction surgery. preliminary results of a randomized, prospectiv...
7605859 - Treatment of diabetic gastroparesis with oral clonidine.
16040019 - The cell based dressing with living allogenic keratinocytes in the treatment of foot ul...
1550369 - Incidence of alopecia areata in lupus erythematosus.
3361019 - Peripheral vascular resistance in septic shock: its relation to outcome.
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-29
Journal Detail:
Title:  Retina (Philadelphia, Pa.)     Volume:  -     ISSN:  1539-2864     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-4-2     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8309919     Medline TA:  Retina     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
*2nd Department of Ophthalmology, "ATTIKON" Hospital, University of Athens, Medical School of Athens, Athens, Greece †1st Department of Ophthalmology, "G.Gennimatas" Hospital, University of Athens, Medical School of Athens, Athens, Greece.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  SPECTRAL DOMAIN OPTICAL COHERENCE TOMOGRAPHY CLASSIFICATION OF ACUTE POSTERIOR MULTIFOCAL PLACOID PI...
Next Document:  FOVEAL CAVITATION AS AN OPTICAL COHERENCE TOMOGRAPHY FINDING IN CENTRAL CONE DYSFUNCTION.