Short-Term Outcomes After COVID-19-Related Treatment Interruption Among Patients with Neovascular Age-Related Macular Degeneration Receiving Intravitreal Bevacizumab

Davide Allegrini,1 Raffaele Raimondi,2 Giovanni Montesano,3 Alfredo Borgia,2 Tania Sorrentino,2 Panagiotis Tsoutsanis,2 Mario R Romano1,2 1Eye Center, Humanitas, Bergamo, Italy; 2Department of Biomedical Sciences, Humanitas University, Milano, Italy; 3University of London - Optometry and Visual Scie...

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Main Authors: Allegrini D, Raimondi R, Montesano G, Borgia A, Sorrentino T, Tsoutsanis P, Romano MR
Format: Article
Language:English
Published: Dove Medical Press 2021-10-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/short-term-outcomes-after-covid-19-related-treatment-interruption-amon-peer-reviewed-fulltext-article-OPTH
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author Allegrini D
Raimondi R
Montesano G
Borgia A
Sorrentino T
Tsoutsanis P
Romano MR
author_facet Allegrini D
Raimondi R
Montesano G
Borgia A
Sorrentino T
Tsoutsanis P
Romano MR
author_sort Allegrini D
collection DOAJ
description Davide Allegrini,1 Raffaele Raimondi,2 Giovanni Montesano,3 Alfredo Borgia,2 Tania Sorrentino,2 Panagiotis Tsoutsanis,2 Mario R Romano1,2 1Eye Center, Humanitas, Bergamo, Italy; 2Department of Biomedical Sciences, Humanitas University, Milano, Italy; 3University of London - Optometry and Visual Sciences, London, UKCorrespondence: Raffaele RaimondiDepartment of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, Milano, ItalyTel +39 02 8224 7100Email raffor9@gmail.comPurpose: To assess outcomes and recovery strategy of patients undergoing intravitreal injections for exudative age-related macular degeneration who experienced COVID-19 related interruption in treatment during complete lockdown.Methods: This was a retrospective, observational case study. We used a mixed effect model with random intercepts to evaluate best corrected visual acuity (BCVA) accounting for measured central macular thickness (CMT) and individual variability of each eye. Furthermore, we analysed measures of the pigmented epithelium detachment as well as presence of subretinal fluid and intraretinal cysts.Results: We included 39 patients and we found a significant reduction in the BCVA between the pre- and post-lockdown controlling for CMT. There was no significant difference in pigmented epithelium detachment and in presence of subretinal fluid and intraretinal cysts.Conclusion: We detected a significant loss in visual function. The magnitude of the average loss was, however, limited suggesting good efficacy of the recovery strategy.Keywords: IVT interruption, covid-19, intravitreal injection, bevacizumab
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spelling doaj.art-858c4ff36d404093b285de3b8f33c4822022-12-21T20:34:21ZengDove Medical PressClinical Ophthalmology1177-54832021-10-01Volume 154073407969597Short-Term Outcomes After COVID-19-Related Treatment Interruption Among Patients with Neovascular Age-Related Macular Degeneration Receiving Intravitreal BevacizumabAllegrini DRaimondi RMontesano GBorgia ASorrentino TTsoutsanis PRomano MRDavide Allegrini,1 Raffaele Raimondi,2 Giovanni Montesano,3 Alfredo Borgia,2 Tania Sorrentino,2 Panagiotis Tsoutsanis,2 Mario R Romano1,2 1Eye Center, Humanitas, Bergamo, Italy; 2Department of Biomedical Sciences, Humanitas University, Milano, Italy; 3University of London - Optometry and Visual Sciences, London, UKCorrespondence: Raffaele RaimondiDepartment of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, Milano, ItalyTel +39 02 8224 7100Email raffor9@gmail.comPurpose: To assess outcomes and recovery strategy of patients undergoing intravitreal injections for exudative age-related macular degeneration who experienced COVID-19 related interruption in treatment during complete lockdown.Methods: This was a retrospective, observational case study. We used a mixed effect model with random intercepts to evaluate best corrected visual acuity (BCVA) accounting for measured central macular thickness (CMT) and individual variability of each eye. Furthermore, we analysed measures of the pigmented epithelium detachment as well as presence of subretinal fluid and intraretinal cysts.Results: We included 39 patients and we found a significant reduction in the BCVA between the pre- and post-lockdown controlling for CMT. There was no significant difference in pigmented epithelium detachment and in presence of subretinal fluid and intraretinal cysts.Conclusion: We detected a significant loss in visual function. The magnitude of the average loss was, however, limited suggesting good efficacy of the recovery strategy.Keywords: IVT interruption, covid-19, intravitreal injection, bevacizumabhttps://www.dovepress.com/short-term-outcomes-after-covid-19-related-treatment-interruption-amon-peer-reviewed-fulltext-article-OPTHivt interruptioncovid-19intravitreal injectionbevacizumab
spellingShingle Allegrini D
Raimondi R
Montesano G
Borgia A
Sorrentino T
Tsoutsanis P
Romano MR
Short-Term Outcomes After COVID-19-Related Treatment Interruption Among Patients with Neovascular Age-Related Macular Degeneration Receiving Intravitreal Bevacizumab
Clinical Ophthalmology
ivt interruption
covid-19
intravitreal injection
bevacizumab
title Short-Term Outcomes After COVID-19-Related Treatment Interruption Among Patients with Neovascular Age-Related Macular Degeneration Receiving Intravitreal Bevacizumab
title_full Short-Term Outcomes After COVID-19-Related Treatment Interruption Among Patients with Neovascular Age-Related Macular Degeneration Receiving Intravitreal Bevacizumab
title_fullStr Short-Term Outcomes After COVID-19-Related Treatment Interruption Among Patients with Neovascular Age-Related Macular Degeneration Receiving Intravitreal Bevacizumab
title_full_unstemmed Short-Term Outcomes After COVID-19-Related Treatment Interruption Among Patients with Neovascular Age-Related Macular Degeneration Receiving Intravitreal Bevacizumab
title_short Short-Term Outcomes After COVID-19-Related Treatment Interruption Among Patients with Neovascular Age-Related Macular Degeneration Receiving Intravitreal Bevacizumab
title_sort short term outcomes after covid 19 related treatment interruption among patients with neovascular age related macular degeneration receiving intravitreal bevacizumab
topic ivt interruption
covid-19
intravitreal injection
bevacizumab
url https://www.dovepress.com/short-term-outcomes-after-covid-19-related-treatment-interruption-amon-peer-reviewed-fulltext-article-OPTH
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