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10.1038/eye.2015.87

http://scihub22266oqcxt.onion/10.1038/eye.2015.87
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suck abstract from ncbi


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pmid26021870      Eye+(Lond) 2015 ; 29 (9): 1152-5
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  • Transitioning to intravitreal aflibercept following a previous treat-and-extend dosing regimen in neovascular age-related macular degeneration: 24-month results #MMPMID26021870
  • Homer N; Grewal DS; Mirza RG; Lyon AT; Gill MK
  • Eye (Lond) 2015[Sep]; 29 (9): 1152-5 PMID26021870show ga
  • Purpose:: To evaluate frequency of injections, visual and anatomical outcomes of neovascular age-related macular degeneration (nAMD) patients transitioned to intravitreal aflibercept after failure to extend treatment interval beyond 8 weeks with prior intravitreal bevacizumab or ranibizumab. Methods:: Retrospective review of patients with nAMD switched to aflibercept following ?6 prior intravitreal ranibizumab or bevacizumab injections at 4?8-week intervals. Three monthly aflibercept injections were given followed by a treat-and-extend dosing regimen. Results:: Twenty-one eyes of 18 patients who had received a mean of 23.8±18.8 (mean±SD; range 6?62) prior ranibizumab or bevacizumab injections were included. Over a mean follow-up of 24 months after the transition, 9.2±2.9 (range 4?21) aflibercept injections were required. Interval between aflibercept injections increased to 57.3 days (range 35?133 days), as compared with 37±6.1 days (range 29?54 days) with the prior agents (P=0.01). Mean best-corrected visual acuity was preserved (0.42±0.31 vs 0.42±0.23 logMAR; P=0.2). Mean OCT central subfoveal thickness (292.1±83.2??m to 283.6±78.6??m; P=0.4) and mean macular volume (7.9±0.95?mm3 to 7.67±0.94?mm3; P=0.16) remained stable. Conclusion:: Patients requiring treatment more frequently than every 8 weeks with ranibizumab and bevacizumab were transitioned to >8-week treatment interval with aflibercept while maintaining the anatomic and visual gains.
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