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10.1136/bjophthalmol-2016-308668

http://scihub22266oqcxt.onion/10.1136/bjophthalmol-2016-308668
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suck abstract from ncbi


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pmid27215744
      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.
  • |Aged [MESH]
  • |Angiogenesis Inhibitors/*therapeutic use [MESH]
  • |Bevacizumab/administration & dosage [MESH]
  • |Choroidal Neovascularization/*drug therapy/physiopathology [MESH]
  • |Diabetic Retinopathy/drug therapy [MESH]
  • |Female [MESH]
  • |Humans [MESH]
  • |Intravitreal Injections [MESH]
  • |Macular Degeneration/drug therapy [MESH]
  • |Macular Edema/drug therapy [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Myopia/drug therapy [MESH]
  • |Ranibizumab/administration & dosage [MESH]
  • |Receptors, Vascular Endothelial Growth Factor/administration & dosage [MESH]
  • |Recombinant Fusion Proteins/administration & dosage [MESH]
  • |Retinal Diseases/*drug therapy/physiopathology [MESH]
  • |Retinal Vein Occlusion/drug therapy [MESH]
  • |Retrospective Studies [MESH]
  • |Vascular Endothelial Growth Factor A/antagonists & inhibitors [MESH]


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