Long-Term Results of Combination Treatment with Single-Dose Ranibizumab plus Photodynamic Therapy for Retinal Angiomatous Proliferation.

作者: Panagiotis Malamos , Ioannis Tservakis , Menelaos Kanakis , Chrysoula Koutsiouki , Evita Kiskira

DOI: 10.1159/000487610

关键词: NeovascularizationOcclusionPhotodynamic therapyRanibizumabIndocyanine green angiographyMedicineCombination therapyOphthalmologyRetinalCombined treatment

摘要: PURPOSE To present functional and anatomic outcomes of combination therapy with ranibizumab photodynamic (PDT) in a series retinal angiomatous proliferation (RAP) cases. METHODS A total 17 eyes patients RAP were included. Thirteen treatment naive 4 already on monotherapy. Combined single-dose PDT was performed all treatment-naive Follow-up every month for 6-38 months, using optical coherence tomography indocyanine green angiography when necessary. RESULTS Overall, 6 out 7 cases stage I or II disease manifested complete angiographic resolution the hot spot single injection plus PDT. In III disease, 10 showed persistent leakage immediately after combined treatment. The rate occlusion found to correlate (p = 0.05). There significant improvement posttreatment BCVA regardless 0.02), which more evident earlier stages. Improvement also greater 0.03). strongly correlated < 0.001). CONCLUSIONS Single-dose modified anti-VEGF may provide long-term regression at initial stages RAP.

参考文章(30)
T. Iida, M. Saito, D. Nagayama, C. Shiragami, F. Shiraga, Combined Intravitreal Bevacizumab and Photodynamic Therapy for Retinal Angiomatous Proliferation Investigative Ophthalmology & Visual Science. ,vol. 49, pp. 546- 546 ,(2008)
Ursula Schmidt-Erfurth, Peter K Kaiser, Jean-François Korobelnik, David M Brown, Victor Chong, Quan Dong Nguyen, Allen C Ho, Yuichiro Ogura, Christian Simader, Glenn J Jaffe, Jason S Slakter, George D Yancopoulos, Neil Stahl, Robert Vitti, Alyson J Berliner, Yuhwen Soo, Majid Anderesi, Olaf Sowade, Oliver Zeitz, Christiane Norenberg, Rupert Sandbrink, Jeffrey S Heier, None, Intravitreal Aflibercept Injection for Neovascular Age-related Macular Degeneration: Ninety-Six–Week Results of the VIEW Studies Ophthalmology. ,vol. 121, pp. 193- 201 ,(2014) , 10.1016/J.OPHTHA.2013.08.011
K Bailey Freund, I-Van Ho, Irene A Barbazetto, Hideki Koizumi, Ketan Laud, Daniela Ferrara, Yoko Matsumoto, John A Sorenson, Lawrence Yannuzzi, None, Type 3 neovascularization: the expanded spectrum of retinal angiomatous proliferation. Retina-the Journal of Retinal and Vitreous Diseases. ,vol. 28, pp. 201- 211 ,(2008) , 10.1097/IAE.0B013E3181669504
FRANCESCO VIOLA, AMEDEO MASSACESI, NICOLA ORZALESI, ROBERTO RATIGLIA, GIOVANNI STAURENGHI, Retinal angiomatous proliferation: natural history and progression of visual loss. Retina-the Journal of Retinal and Vitreous Diseases. ,vol. 29, pp. 732- 739 ,(2009) , 10.1097/IAE.0B013E3181A395CB
Lawrence A. Yannuzzi, Silvana Negrão, Tomohiro IIDA, Cynthia Carvalho, Hanna Rodriguez-Coleman, Jason Slakter, K. Bailey Freund, John Sorenson, Dennis Orlock, Natalie Borodoker, RETINAL ANGIOMATOUS PROLIFERATION IN AGE–RELATED MACULAR DEGENERATION Retina-the Journal of Retinal and Vitreous Diseases. ,vol. 32, pp. 416- 434 ,(2012) , 10.1097/IAE.0B013E31823F9B3B
CATHERINE B. MEYERLE, K BAILEY FREUND, DIANA ITURRALDE, RICHARD F. SPAIDE, JOHN A. SORENSON, JASON S. SLAKTER, JAMES M. KLANCNIK, YALE L. FISHER, MICHAEL J. COONEY, LAWRENCE A. YANNUZZI, Intravitreal bevacizumab (Avastin) for retinal angiomatous proliferation Retina-the Journal of Retinal and Vitreous Diseases. ,vol. 27, pp. 451- 457 ,(2007) , 10.1097/IAE.0B013E318030EA80
Masaaki Saito, Tomohiro Iida, Mariko Kano, Two-year results of combined intravitreal anti-VEGF agents and photodynamic therapy for retinal angiomatous proliferation Japanese Journal of Ophthalmology. ,vol. 57, pp. 211- 220 ,(2013) , 10.1007/S10384-012-0215-7
Francesco Boscia, Claudio Furino, Luigi Sborgia, Michele Reibaldi, Carlo Sborgia, Photodynamic therapy for retinal angiomatous proliferations and pigment epithelium detachment American Journal of Ophthalmology. ,vol. 138, pp. 1077- 1079 ,(2004) , 10.1016/J.AJO.2004.06.072
Iris Steinbrugger, Anton Haas, Gerald Seidel, Christoph Werner, Martin Weger, Combination treatment of photodynamic therapy with verteporfin and intravitreal ranibizumab in patients with retinal angiomatous proliferation. Acta Ophthalmologica. ,vol. 91, ,(2013) , 10.1111/AOS.12111