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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 PMID26021870 show 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 mm(3) to 7.67 ± 0.94 mm(3); 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.
  • |Aged [MESH]
  • |Aged, 80 and over [MESH]
  • |Angiogenesis Inhibitors/*administration & dosage [MESH]
  • |Bevacizumab/therapeutic use [MESH]
  • |Drug Substitution [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Intravitreal Injections [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Neovascularization, Pathologic/*drug therapy [MESH]
  • |Ranibizumab/therapeutic use [MESH]
  • |Receptors, Vascular Endothelial Growth Factor/*administration & dosage [MESH]
  • |Recombinant Fusion Proteins/*administration & dosage [MESH]
  • |Retrospective Studies [MESH]
  • |Tomography, Optical Coherence [MESH]
  • |Visual Acuity [MESH]


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