Aflibercept therapy for exudative age-related macular degeneration resistant to bevacizumab and ranibizumab.

作者: Benjamin Bakall , James C. Folk , H. Culver Boldt , Elliott H. Sohn , Edwin M. Stone

DOI: 10.1016/J.AJO.2013.02.017

关键词: AfliberceptSubretinal fluidSurgeryVisual acuityRetrospective cohort studyMacular degenerationRanibizumabBevacizumabMedicineChoroidal neovascularization

摘要: Purpose To evaluate the outcome of intravitreal injection aflibercept in cases with exudative age-related macular degeneration, (AMD) resistant to injections bevacizumab or ranibizumab. Design Retrospective observational case series. Methods A retrospective chart review at a single institution was conducted identify patients AMD and choroidal neovascularization (CNV) 1 both eyes treatment ranibizumab who were switched least 3 monthly aflibercept. In total, 36 from 31 included. The demographic data, visual acuities, central thickness on optical coherence tomography (OCT), complications, number reviewed. Results mean patient age 79 years (range 60-88). There 13 male 18 female patients. prior either ranged 6-74. After aflibercept, there reduction subretinal intraretinal fluid (50.0%) treated eyes; amount remained stable 15 (41.7%) worsened 3 (8.3%). significant average decrease observed for after 65 μm ( P  = 2.9 × 10 -6 ), no change acuity. Conclusions Aflibercept therapy appears be beneficial subset neovascular degeneration exhibit recurrent following multiple

参考文章(18)
Daniel F Martin, Maureen G Maguire, Stuart L Fine, Gui-shuang Ying, Glenn J Jaffe, Juan E Grunwald, Cynthia Toth, Maryann Redford, Frederick L Ferris 3rd, Comparison of Age-related Macular Degeneration Treatments Trials (CATT) Research Group, None, Ranibizumab and bevacizumab for treatment of neovascular age-related macular degeneration: two-year results. Ophthalmology. ,vol. 119, pp. 1388- 1398 ,(2012) , 10.1016/J.OPHTHA.2012.03.053
FARZIN FOROOGHIAN, CATHERINE CUKRAS, CATHERINE B. MEYERLE, EMILY Y. CHEW, WAI T. WONG, Tachyphylaxis after intravitreal bevacizumab for exudative age-related macular degeneration. Retina-the Journal of Retinal and Vitreous Diseases. ,vol. 29, pp. 723- 731 ,(2009) , 10.1097/IAE.0B013E3181A2C1C3
J. Holash, S. Davis, N. Papadopoulos, S. D. Croll, L. Ho, M. Russell, P. Boland, R. Leidich, D. Hylton, E. Burova, E. Ioffe, T. Huang, C. Radziejewski, K. Bailey, J. P. Fandl, T. Daly, S. J. Wiegand, G. D. Yancopoulos, J. S. Rudge, VEGF-Trap: A VEGF blocker with potent antitumor effects Proceedings of the National Academy of Sciences of the United States of America. ,vol. 99, pp. 11393- 11398 ,(2002) , 10.1073/PNAS.172398299
Eva Smretschnig, Ilse Krebs, Sarah Moussa, Siamak Ansari-Shahrezarei, Susanne Binder, Cirrus OCT versus Spectralis OCT: differences in segmentation in fibrovascular pigment epithelial detachment Graefes Archive for Clinical and Experimental Ophthalmology. ,vol. 248, pp. 1693- 1698 ,(2010) , 10.1007/S00417-010-1415-9
James C. Folk, Edwin M. Stone, Ranibizumab Therapy for Neovascular Age-Related Macular Degeneration The New England Journal of Medicine. ,vol. 363, pp. 1648- 1655 ,(2010) , 10.1056/NEJMCT1000495
grupo estudio VIEW2 HHO Dominguez, None, Intravitreal aflibercept (VEGF trap-eye) in wet age-related macular degeneration. Ophthalmology. ,vol. 119, pp. 2537- 2548 ,(2012) , 10.1016/J.OPHTHA.2012.09.006
Pearse A. Keane, Sandra Liakopoulos, Sharel C. Ongchin, Florian M. Heussen, Sandeep Msutta, Karen T. Chang, Alexander C. Walsh, Srinivas R. Sadda, Quantitative subanalysis of optical coherence tomography after treatment with ranibizumab for neovascular age-related macular degeneration. Investigative Ophthalmology & Visual Science. ,vol. 49, pp. 3115- 3120 ,(2008) , 10.1167/IOVS.08-1689
Susanne Binder, Loss of reactivity in intravitreal anti-VEGF therapy: tachyphylaxis or tolerance? British Journal of Ophthalmology. ,vol. 96, pp. 1- 2 ,(2012) , 10.1136/BJOPHTHALMOL-2011-301236
Julie L Gasperini, Amani A Fawzi, Ani Khondkaryan, Linda Lam, Lawrence P Chong, Dean Eliott, Alexander C Walsh, John Hwang, SriniVas R Sadda, Bevacizumab and ranibizumab tachyphylaxis in the treatment of choroidal neovascularisation British Journal of Ophthalmology. ,vol. 96, pp. 14- 20 ,(2012) , 10.1136/BJO.2011.204685