Visual acuity and contrast sensitivity outcomes in Indian eyes undergoing photodynamic therapy with intravitreal injection of triamcinolone acetonide in age-related macular degeneration

<b>Purpose: </b> To evaluate photodynamic therapy (PDT) with verteporfin along with intravitreal triamcinolone acetonide (IVTA) in the treatment of neovascular age-related macular degeneration (AMD). <b> Materials and Methods: </b> This prospective interventional case series...

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Bibliographic Details
Main Authors: Kumar Atul, Sinha Subijay, Kumar Vikram
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2007-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2007;volume=55;issue=3;spage=207;epage=211;aulast=Kumar
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Summary:<b>Purpose: </b> To evaluate photodynamic therapy (PDT) with verteporfin along with intravitreal triamcinolone acetonide (IVTA) in the treatment of neovascular age-related macular degeneration (AMD). <b> Materials and Methods: </b> This prospective interventional case series included 23 patients (23 eyes) of choroidal neovascularization due to neovascular AMD who were treated with PDT with verteporfin followed by an injection of 4 mg IVTA. The main outcome measures were visual acuity (VA), contrast sensitivity, retreatment frequency with PDT (and triamcinolone) and frequency of side-effects. <b> Results: </b> Twenty-three eyes underwent PDT with verteporfin followed by IVTA one week later. All patients were followed up for one year. Initial VA ranged from 20/32 to 20/800 and final VA ranged from 20/40 to 20/500 at the end of 12 months. VA stabilized (that is loss/gain &#60; 2 lines) in 19 (82&#x0025;) eyes. Contrast sensitivity also improved in 16/23 eyes (70&#x0025;). Lesion type and patient&#x2032;s age had no influence on the outcome, but baseline VA had a borderline statistically significant effect (<i> P</i> =0.059). Six eyes (27&#x0025;) had an increase in intraocular pressure that required therapy. There were no cases of endophthalmitis, but four eyes (18&#x0025;) developed significant cataract that required surgery during the follow-up period. <b> Conclusion</b> : The combination of PDT along with IVTA improves contrast sensitivity and stabilizes vision during one-year follow-up.
ISSN:0301-4738