Document Detail


Optical coherence tomography findings during pegaptanib therapy for neovascular age-related macular degeneration.
MedLine Citation:
PMID:  17621181     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: To evaluate macular thickness measured by optical coherence tomography (OCT) during pegaptanib therapy for neovascular age-related macular degeneration (AMD). METHODS: For this prospective, nonrandomized, observational case series, 41 eyes from 41 patients with neovascular AMD received intravitreous pegaptanib (1 mg) injections repeated every 6 weeks. The primary outcome measure was central foveal thickness measured by OCT. Secondary outcomes were fluorescein angiographic leakage and visual acuity. RESULTS: Mean thickness of the central area on OCT decreased from 340 +/- 24 microm to 299 +/- 14 microm after 12 weeks of pegaptanib injections. This represents a reduction in thickening of 32%. Fluorescein angiograms with definite leakage decreased from 100% to 81%, and mean visual acuity decreased from 20/116 to 20/120. CONCLUSIONS: Intravitreal injections of pegaptanib at 6-week intervals result in a moderate reduction of central foveal thickness in eyes with subfoveal neovascular AMD. This presents a modest effect relative to that reported with other anti-angiogenic agents.
Authors:
Geoffrey G Emerson; Christina J Flaxel; Andreas K Lauer; J Timothy Stout; M Vaughn Emerson; Susan Nolte; David J Wilson; Michael L Klein
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Retina (Philadelphia, Pa.)     Volume:  27     ISSN:  0275-004X     ISO Abbreviation:  Retina (Philadelphia, Pa.)     Publication Date:    2007 Jul-Aug
Date Detail:
Created Date:  2007-07-10     Completed Date:  2007-08-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8309919     Medline TA:  Retina     Country:  United States    
Other Details:
Languages:  eng     Pagination:  724-9     Citation Subset:  IM    
Affiliation:
Casey Eye Institute, Oregon Health & Science University, Portland, OR, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Angiogenesis Inhibitors / therapeutic use*
Aptamers, Nucleotide / therapeutic use*
Choroidal Neovascularization / diagnosis,  drug therapy*
Female
Fluorescein Angiography
Follow-Up Studies
Fovea Centralis
Humans
Injections
Macular Degeneration / complications*
Macular Edema / diagnosis*,  etiology
Male
Middle Aged
Prospective Studies
Tomography, Optical Coherence*
Vascular Endothelial Growth Factor A / antagonists & inhibitors
Vitreous Body
Chemical
Reg. No./Substance:
0/Angiogenesis Inhibitors; 0/Aptamers, Nucleotide; 0/VEGFA protein, human; 0/Vascular Endothelial Growth Factor A; 0/pegaptanib

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