RETRACTED: Radiation therapy for macular degeneration: Technical considerations and preliminary results

作者: Luther W. Brady , Jorge E. Freire , Wallace A. Longton , Curtis T. Miyamoto , James J. Augsburger

DOI: 10.1016/S0360-3016(97)00708-6

关键词: Eye diseaseSurgeryMedicineRetinopathyMaculopathyTotal doseVisual acuityToxicityMacular degenerationRadiation therapy

摘要: Purpose: This study was undertaken to assess the toxicity and possible benefits from administration of low-dose external-beam irradiation for Age-Related Macular Degeneration (ARMD). The premise treatment is that radiation induces regression and/or promotes inactivation subretinal neo-vasculature, resulting in reabsorption fluid blood thus reducing risk further leakage or bleeding, as well fibrosis. Clinically, beneficial effect could be translated into stabilization visual acuity prevention progression wet type ARMD with possibility some improvement. Methods Materials: Allegheny University Hospitals, Hahnemann, Department Radiation Oncology, treated 278 patients prospectively beginning January 1995 wet-type macular degeneration. Two hundred forty-nine were a total dose 14.40 Gy eight fractions 1.80 over 10-13 elapsed days, 27 20 at 2 per fraction 12-15 days. first two 10.00 five 2.00 Gy. Patients evaluated 2-3 weeks months. A percentage (36.7%) had previously received laser treatments eye, 21.9% once, 5% twice, 9.7% three more. Subjective data collected on all patients. Results: At after 195 (70%) retained their without change, 68 (24.5%) stated they improved vision, 15 (4.8%) vision continued decrease. 3 months treatment, 183 (65.8%) no change vision. 75 (27%) an improvement (7.2%) decrease acuity. Transient acute reactions occurred 14 treated. Conclusion: Our observations this group support conclusion many will have stable age related

参考文章(9)
G. J. Bergink, A. F. Deutman, J. E. C. M. Van Den Broek, W. A. J. Van Daal, R. M. W. Van Der Maazen, Radiation therapy for age-related subfoveal choroidal neovascular membranes Documenta Ophthalmologica. ,vol. 90, pp. 67- 74 ,(1995) , 10.1007/BF01203296
Peter H. Custis, Susan B. Bressler, Neil M. Bressler, Laser management of subfoveal choroidal neovascularization in age-related macular degeneration. Current Opinion in Ophthalmology. ,vol. 4, pp. 7- 18 ,(1993) , 10.1097/00055735-199306000-00003
U Chakravarthy, R F Houston, D B Archer, Treatment of age-related subfoveal neovascular membranes by teletherapy: a pilot study British Journal of Ophthalmology. ,vol. 77, pp. 265- 273 ,(1993) , 10.1136/BJO.77.5.265
I H Chisholm, The prospects for new treatments in age-related macular degeneration. British Journal of Ophthalmology. ,vol. 77, pp. 757- 758 ,(1993) , 10.1136/BJO.77.12.757
P M Hart, D B Archer, U Chakravarthy, Asymmetry of disciform scarring in bilateral disease when one eye is treated with radiotherapy. British Journal of Ophthalmology. ,vol. 79, pp. 562- 568 ,(1995) , 10.1136/BJO.79.6.562
I H Chisholm, Treatment of age-related subfoveal neovascular membranes by teletherapy. British Journal of Ophthalmology. ,vol. 77, pp. 261- 262 ,(1993) , 10.1136/BJO.77.5.261
Richard W. Young, Pathophysiology of age-related macular degeneration. Survey of Ophthalmology. ,vol. 31, pp. 291- 306 ,(1987) , 10.1016/0039-6257(87)90115-9
Gert J. Bergink, August F. Deutman, Joop F. C. M. van den Broek, Willem A. J. van Daal, Richard W. M. van der Maazen, Radiation therapy for subfoveal choroidal neovascular membranes in age-related macular degeneration. A pilot study. Graefes Archive for Clinical and Experimental Ophthalmology. ,vol. 232, pp. 591- 598 ,(1994) , 10.1007/BF00193119
Christophe Valmaggia, Peter Bischoff, Gerhard Ries, Niedrig dosierte Radiotherapie der subfoveolären Neovaskularisationen bei altersabhängiger Makuladegeneration. Vorläufige Resultate Klinische Monatsblatter Fur Augenheilkunde. ,vol. 206, pp. 343- 346 ,(1995) , 10.1055/S-2008-1035458