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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Br+J+Ophthalmol
2017 ; 101
(3
): 353-359
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Five-year visual acuity outcomes and injection patterns in patients with
pro-re-nata treatments for AMD, DME, RVO and myopic CNV
#MMPMID27215744
Wecker T
; Ehlken C
; Bühler A
; Lange C
; Agostini H
; Böhringer D
; Stahl A
Br J Ophthalmol
2017[Mar]; 101
(3
): 353-359
PMID27215744
show ga
BACKGROUND: Anti vascular endothelial growth factor (VEGF) therapy is an
established treatment for various retinal diseases. Long-term data on injection
frequencies and visual acuity (VA), however, are still rare. METHODS: Five-year
analysis of real-life VA developments and injection patterns from 2072 patients
(2577 eyes; 33?187 injections) with chronically active disease undergoing
pro-re-nata treatment for age-related macular degeneration (AMD), diabetic
macular oedema (DME), retinal vein occlusion (RVO) and myopic choroidal
neovascularisation (CNV). RESULTS: Maximum mean VA gain in year 1 was+5.2 letters
in AMD, +6.2 in DME, +10 in RVO and+7.2 in myopic CNV. Over 5?years, however, VA
in patients with AMD declined. By year 5, 34% of patients with AMD had
experienced VA loss of >15 letters, 56% had remained stable and 10% had gained
>15 letters. Long-term VA developments in DME and RVO were more favourable with
81% of DME and 79% of patients with RVO gaining or maintaining vision at 5?years.
In AMD, median injection frequency was six in year 1 and between four and five in
consecutive years. In DME and RVO, median injection frequency was six in year 1
but lower compared with AMD in consecutive years. Injection frequency in DME was
weakly associated with patient age (r(s)=0.1; p=0.03). CONCLUSIONS: In AMD, the
initial VA gain was not maintained long term despite higher injection numbers
compared with DME, RVO and myopic CNV. The presented real-world data provide a
peer-group-based estimate of VA developments and injection frequencies for
counselling patients undergoing long-term anti-VEGF therapy.