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2015 ; 29
(9
): 1152-5
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
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.