Revisiting the Utility of Dilated Fundus Exams in Patients with Neovascular Age-Related Macular Degeneration Receiving Regular Intravitreal Injections

Fares Antaki,1,2 Daniel Milad,3 Ali Dirani4 1Department of Ophthalmology, Université de Montréal, Montreal, QC, Canada; 2Centre Universitaire d’Ophtalmologie (CUO), Hôpital Maisonneuve-Rosemont, CIUSSS de l’Est-De-l’île-De-Montr...

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Autores principales:	Antaki F, Milad D, Dirani A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2021
Materias:	age-related macular degeneration dilated fundus exam intravitreal injections covid-19 optical coherence tomography Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3d940494811d40a99b6c97c6d96c4393
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spelling	oai:doaj.org-article:3d940494811d40a99b6c97c6d96c43932021-12-02T15:52:24ZRevisiting the Utility of Dilated Fundus Exams in Patients with Neovascular Age-Related Macular Degeneration Receiving Regular Intravitreal Injections1177-5483https://doaj.org/article/3d940494811d40a99b6c97c6d96c43932021-03-01T00:00:00Zhttps://www.dovepress.com/revisiting-the-utility-of-dilated-fundus-exams-in-patients-with-neovas-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Fares Antaki,1,2 Daniel Milad,3 Ali Dirani4 1Department of Ophthalmology, Université de Montréal, Montreal, QC, Canada; 2Centre Universitaire d’Ophtalmologie (CUO), Hôpital Maisonneuve-Rosemont, CIUSSS de l’Est-De-l’île-De-Montréal, Montreal, QC, Canada; 3Faculty of Medicine, Université Laval, Quebec City, QC, Canada; 4Department of Ophthalmology, Centre Universitaire d’Ophtalmologie, Hôpital du Saint-Sacrement, CHU de Québec - Université Laval, Quebec City, QC, CanadaCorrespondence: Ali DiraniDepartment of Ophthalmology, Centre Universitaire d’Ophtalmologie, Hôpital du Saint-Sacrement, CHU de Québec - Université Laval, Quebec City, QC, CanadaEmail drdirani@gmail.comAbstract: Patients receiving regular anti-vascular endothelial growth factor (anti-VEGF) intravitreal injections for neovascular age-related macular degeneration (nAMD) routinely undergo dilated fundus examination (DFE) at each visit. In this paper, we review the current evidence on the utility of DFE in guiding treatment of established patients with nAMD and discuss novel treatment algorithms that defer DFE assessments with the advent of optical coherence tomography (OCT). We also debate on the value of DFE in the current sanitary context of COVID-19 and highlight important clinical scenarios where it must be performed.Keywords: age-related macular degeneration, dilated fundus exam, intravitreal injections, COVID-19, optical coherence tomographyAntaki FMilad DDirani ADove Medical Pressarticleage-related macular degenerationdilated fundus examintravitreal injectionscovid-19optical coherence tomographyOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 15, Pp 1129-1131 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	age-related macular degeneration dilated fundus exam intravitreal injections covid-19 optical coherence tomography Ophthalmology RE1-994
spellingShingle	age-related macular degeneration dilated fundus exam intravitreal injections covid-19 optical coherence tomography Ophthalmology RE1-994 Antaki F Milad D Dirani A Revisiting the Utility of Dilated Fundus Exams in Patients with Neovascular Age-Related Macular Degeneration Receiving Regular Intravitreal Injections
description	Fares Antaki,1,2 Daniel Milad,3 Ali Dirani4 1Department of Ophthalmology, Université de Montréal, Montreal, QC, Canada; 2Centre Universitaire d’Ophtalmologie (CUO), Hôpital Maisonneuve-Rosemont, CIUSSS de l’Est-De-l’île-De-Montréal, Montreal, QC, Canada; 3Faculty of Medicine, Université Laval, Quebec City, QC, Canada; 4Department of Ophthalmology, Centre Universitaire d’Ophtalmologie, Hôpital du Saint-Sacrement, CHU de Québec - Université Laval, Quebec City, QC, CanadaCorrespondence: Ali DiraniDepartment of Ophthalmology, Centre Universitaire d’Ophtalmologie, Hôpital du Saint-Sacrement, CHU de Québec - Université Laval, Quebec City, QC, CanadaEmail drdirani@gmail.comAbstract: Patients receiving regular anti-vascular endothelial growth factor (anti-VEGF) intravitreal injections for neovascular age-related macular degeneration (nAMD) routinely undergo dilated fundus examination (DFE) at each visit. In this paper, we review the current evidence on the utility of DFE in guiding treatment of established patients with nAMD and discuss novel treatment algorithms that defer DFE assessments with the advent of optical coherence tomography (OCT). We also debate on the value of DFE in the current sanitary context of COVID-19 and highlight important clinical scenarios where it must be performed.Keywords: age-related macular degeneration, dilated fundus exam, intravitreal injections, COVID-19, optical coherence tomography
format	article
author	Antaki F Milad D Dirani A
author_facet	Antaki F Milad D Dirani A
author_sort	Antaki F
title	Revisiting the Utility of Dilated Fundus Exams in Patients with Neovascular Age-Related Macular Degeneration Receiving Regular Intravitreal Injections
title_short	Revisiting the Utility of Dilated Fundus Exams in Patients with Neovascular Age-Related Macular Degeneration Receiving Regular Intravitreal Injections
title_full	Revisiting the Utility of Dilated Fundus Exams in Patients with Neovascular Age-Related Macular Degeneration Receiving Regular Intravitreal Injections
title_fullStr	Revisiting the Utility of Dilated Fundus Exams in Patients with Neovascular Age-Related Macular Degeneration Receiving Regular Intravitreal Injections
title_full_unstemmed	Revisiting the Utility of Dilated Fundus Exams in Patients with Neovascular Age-Related Macular Degeneration Receiving Regular Intravitreal Injections
title_sort	revisiting the utility of dilated fundus exams in patients with neovascular age-related macular degeneration receiving regular intravitreal injections
publisher	Dove Medical Press
publishDate	2021
url	https://doaj.org/article/3d940494811d40a99b6c97c6d96c4393
work_keys_str_mv	AT antakif revisitingtheutilityofdilatedfundusexamsinpatientswithneovascularagerelatedmaculardegenerationreceivingregularintravitrealinjections AT miladd revisitingtheutilityofdilatedfundusexamsinpatientswithneovascularagerelatedmaculardegenerationreceivingregularintravitrealinjections AT dirania revisitingtheutilityofdilatedfundusexamsinpatientswithneovascularagerelatedmaculardegenerationreceivingregularintravitrealinjections
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Revisiting the Utility of Dilated Fundus Exams in Patients with Neovascular Age-Related Macular Degeneration Receiving Regular Intravitreal Injections

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