Two-Year Results of Photodynamic Therapy Combined with Intravitreal Anti-Vascular Endothelial Growth Factor for Polypoidal Choroidal Vasculopathy; A Real Life Experience

INTRODUCTION[|]The aim of this study was to evaluate the 2-year outcomes of intravitreal ranibizumab (IVR) therapy in combination with photodynamic therapy (PDT) in patients with polypoidal choroidal vasculopathy (PCV).[¤]METHODS[|]Patients with PCV who presented at the clinic between January 2013 a...

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Main Authors: Sibel Ahmet, Okkes Baz, Gokhan Demir, Ali Demircan, Zeynep Alkin, Abdullah Ozkaya, Alperen Koc, Muhittin Taskapili
Format: Article
Language:English
Published: KARE Publishing 2017-12-01
Series:Beyoglu Eye Journal
Subjects:
Online Access:https://jag.journalagent.com/z4/download_fulltext.asp?pdir=beyoglu&un=BEJ-14633
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author Sibel Ahmet
Okkes Baz
Gokhan Demir
Ali Demircan
Zeynep Alkin
Abdullah Ozkaya
Alperen Koc
Muhittin Taskapili
author_facet Sibel Ahmet
Okkes Baz
Gokhan Demir
Ali Demircan
Zeynep Alkin
Abdullah Ozkaya
Alperen Koc
Muhittin Taskapili
author_sort Sibel Ahmet
collection DOAJ
description INTRODUCTION[|]The aim of this study was to evaluate the 2-year outcomes of intravitreal ranibizumab (IVR) therapy in combination with photodynamic therapy (PDT) in patients with polypoidal choroidal vasculopathy (PCV).[¤]METHODS[|]Patients with PCV who presented at the clinic between January 2013 and January 2014 were reviewed retrospectively. Twenty-three eyes of 23 patients were included in this study. Indocyanine green angiography was performed to confirm the diagnosis of PCV in all patients. IVR was administered within a week following PDT, then followed by additional IVR as needed. Best corrected visual acuity (BCVA) measurement, biomicroscopic examination, and central macular thickness (CMT) measurement via optical coherence tomography at baseline and at 3, 6, 12, 18, and 24 months were performed. The mean change in BCVA and CMT at follow-up was compared with the baseline.[¤]RESULTS[|]A total of 23 eyes of 23 patients were included in this study. The mean age of the patients was 65.8+-7.4 years (range: 55-82 years). The mean BCVA (logMAR, or logarithm of the minimum angle of resolution) was 0.68+-0.45 at baseline, 0.67+-0.45 at 3 months (p=0.24), 0.66+-0.45 at 6 months (p=0.43), 0.69+-0.43 at 12 months (p=0.95), 0.69+-0.42 at 18 months (p=0.54), and 0.70+-0.42 at 24 months (p=0.56). The mean CMT was 334.5+-99.4 μm at baseline, 313.4+-96.1 μm at 3 months (p=0.27), 319.1+-106.5 μm at 6 months (p=0.44), 303.52+-128.33 μm (p=0.17) at 12 months, 246.6+-80.8μm at 18 months (p=0.0001), and 226.9+-71.7 μm at 24 months (p=0.0001).[¤]DISCUSSION AND CONCLUSION[|]Verteporfin PDT administered in combination with IVR was an effective treatment for preserving VA in PCV for a 2-year period. Our results need to be confirmed in further studies in a real-life setting.[¤]
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spelling doaj.art-18eb76cc2a644109be439114bd538f302023-02-15T16:15:45ZengKARE PublishingBeyoglu Eye Journal2587-03942017-12-0123909510.14744/bej.2017.14633BEJ-14633Two-Year Results of Photodynamic Therapy Combined with Intravitreal Anti-Vascular Endothelial Growth Factor for Polypoidal Choroidal Vasculopathy; A Real Life ExperienceSibel Ahmet0Okkes Baz1Gokhan Demir2Ali Demircan3Zeynep Alkin4Abdullah Ozkaya5Alperen Koc6Muhittin Taskapili7University of Healty Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Healty Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Healty Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Healty Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Healty Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Healty Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Healty Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyUniversity of Healty Sciences, Beyoglu Eye Training and Research Hospital, Istanbul, TurkeyINTRODUCTION[|]The aim of this study was to evaluate the 2-year outcomes of intravitreal ranibizumab (IVR) therapy in combination with photodynamic therapy (PDT) in patients with polypoidal choroidal vasculopathy (PCV).[¤]METHODS[|]Patients with PCV who presented at the clinic between January 2013 and January 2014 were reviewed retrospectively. Twenty-three eyes of 23 patients were included in this study. Indocyanine green angiography was performed to confirm the diagnosis of PCV in all patients. IVR was administered within a week following PDT, then followed by additional IVR as needed. Best corrected visual acuity (BCVA) measurement, biomicroscopic examination, and central macular thickness (CMT) measurement via optical coherence tomography at baseline and at 3, 6, 12, 18, and 24 months were performed. The mean change in BCVA and CMT at follow-up was compared with the baseline.[¤]RESULTS[|]A total of 23 eyes of 23 patients were included in this study. The mean age of the patients was 65.8+-7.4 years (range: 55-82 years). The mean BCVA (logMAR, or logarithm of the minimum angle of resolution) was 0.68+-0.45 at baseline, 0.67+-0.45 at 3 months (p=0.24), 0.66+-0.45 at 6 months (p=0.43), 0.69+-0.43 at 12 months (p=0.95), 0.69+-0.42 at 18 months (p=0.54), and 0.70+-0.42 at 24 months (p=0.56). The mean CMT was 334.5+-99.4 μm at baseline, 313.4+-96.1 μm at 3 months (p=0.27), 319.1+-106.5 μm at 6 months (p=0.44), 303.52+-128.33 μm (p=0.17) at 12 months, 246.6+-80.8μm at 18 months (p=0.0001), and 226.9+-71.7 μm at 24 months (p=0.0001).[¤]DISCUSSION AND CONCLUSION[|]Verteporfin PDT administered in combination with IVR was an effective treatment for preserving VA in PCV for a 2-year period. Our results need to be confirmed in further studies in a real-life setting.[¤]https://jag.journalagent.com/z4/download_fulltext.asp?pdir=beyoglu&un=BEJ-14633combined therapypolypoidal choroidal vasculopathyranibizumab.
spellingShingle Sibel Ahmet
Okkes Baz
Gokhan Demir
Ali Demircan
Zeynep Alkin
Abdullah Ozkaya
Alperen Koc
Muhittin Taskapili
Two-Year Results of Photodynamic Therapy Combined with Intravitreal Anti-Vascular Endothelial Growth Factor for Polypoidal Choroidal Vasculopathy; A Real Life Experience
Beyoglu Eye Journal
combined therapy
polypoidal choroidal vasculopathy
ranibizumab.
title Two-Year Results of Photodynamic Therapy Combined with Intravitreal Anti-Vascular Endothelial Growth Factor for Polypoidal Choroidal Vasculopathy; A Real Life Experience
title_full Two-Year Results of Photodynamic Therapy Combined with Intravitreal Anti-Vascular Endothelial Growth Factor for Polypoidal Choroidal Vasculopathy; A Real Life Experience
title_fullStr Two-Year Results of Photodynamic Therapy Combined with Intravitreal Anti-Vascular Endothelial Growth Factor for Polypoidal Choroidal Vasculopathy; A Real Life Experience
title_full_unstemmed Two-Year Results of Photodynamic Therapy Combined with Intravitreal Anti-Vascular Endothelial Growth Factor for Polypoidal Choroidal Vasculopathy; A Real Life Experience
title_short Two-Year Results of Photodynamic Therapy Combined with Intravitreal Anti-Vascular Endothelial Growth Factor for Polypoidal Choroidal Vasculopathy; A Real Life Experience
title_sort two year results of photodynamic therapy combined with intravitreal anti vascular endothelial growth factor for polypoidal choroidal vasculopathy a real life experience
topic combined therapy
polypoidal choroidal vasculopathy
ranibizumab.
url https://jag.journalagent.com/z4/download_fulltext.asp?pdir=beyoglu&un=BEJ-14633
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