Two-year follow-up of ranibizumab combined with photodynamic therapy for polypoidal choroidal vasculopathy

Rei Nemoto,1,2 Masahiro Miura,1,2 Takuya Iwasaki,1,2 Hiroshi Goto21Department of Ophthalmology, Tokyo Medical University, Ibaraki Medical Center, Ami, Ibaraki, Japan; 2Department of Ophthalmology, Tokyo Medical University, Nishi-Shinjuku, Tokyo, JapanPurpose: We evaluated the 2-year efficacy of comb...

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Autores principales: Nemoto R, Miura M, Iwasaki T, Goto H
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Publicado: Dove Medical Press 2012
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spelling oai:doaj.org-article:5a9a36226e494f9d90526e06c51cd2a62021-12-02T09:07:11ZTwo-year follow-up of ranibizumab combined with photodynamic therapy for polypoidal choroidal vasculopathy1177-54671177-5483https://doaj.org/article/5a9a36226e494f9d90526e06c51cd2a62012-10-01T00:00:00Zhttp://www.dovepress.com/two-year-follow-up-of-ranibizumab-combined-with-photodynamic-therapy-f-a11213https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Rei Nemoto,1,2 Masahiro Miura,1,2 Takuya Iwasaki,1,2 Hiroshi Goto21Department of Ophthalmology, Tokyo Medical University, Ibaraki Medical Center, Ami, Ibaraki, Japan; 2Department of Ophthalmology, Tokyo Medical University, Nishi-Shinjuku, Tokyo, JapanPurpose: We evaluated the 2-year efficacy of combined intravitreal ranibizumab (IVR) treatment and photodynamic therapy (PDT) for treatment-naïve polypoidal choroidal vasculopathy (PCV).Patients and methods: Twenty-two eyes of 22 Japanese patients with treatment-naïve PCV were prospectively recruited. All eyes had angiographic features of PCV according to indocyanine green angiography. The initial combination treatment regimen included a session of PDT with IVR. A total of three consecutive IVR treatments were given at 4-week intervals. Eyes were retreated with IVR or PDT at specific times. We evaluated the mean visual acuity and mean central retinal thickness (CRT) at 3, 6, 9, 12, 18, and 24 months after initial treatment.Results: At month 9, visual acuity had improved by 5.7 letters (P = 0.10). Subsequently, mean visual acuity gradually decreased, and the difference from baseline was diminished to 2.9 letters at 24 months (P = 0.43). Mean CRT was significantly decreased from baseline over the 24-month follow-up (P < 0.05).Conclusion: With PDT combined with IVR for PCV, visual acuity improved during year 1, but the benefit decreased in year 2.Keywords: photodynamic therapy, polypoidal choroidal vasculopathy, ranibizumabNemoto RMiura MIwasaki TGoto HDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1633-1638 (2012)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Nemoto R
Miura M
Iwasaki T
Goto H
Two-year follow-up of ranibizumab combined with photodynamic therapy for polypoidal choroidal vasculopathy
description Rei Nemoto,1,2 Masahiro Miura,1,2 Takuya Iwasaki,1,2 Hiroshi Goto21Department of Ophthalmology, Tokyo Medical University, Ibaraki Medical Center, Ami, Ibaraki, Japan; 2Department of Ophthalmology, Tokyo Medical University, Nishi-Shinjuku, Tokyo, JapanPurpose: We evaluated the 2-year efficacy of combined intravitreal ranibizumab (IVR) treatment and photodynamic therapy (PDT) for treatment-naïve polypoidal choroidal vasculopathy (PCV).Patients and methods: Twenty-two eyes of 22 Japanese patients with treatment-naïve PCV were prospectively recruited. All eyes had angiographic features of PCV according to indocyanine green angiography. The initial combination treatment regimen included a session of PDT with IVR. A total of three consecutive IVR treatments were given at 4-week intervals. Eyes were retreated with IVR or PDT at specific times. We evaluated the mean visual acuity and mean central retinal thickness (CRT) at 3, 6, 9, 12, 18, and 24 months after initial treatment.Results: At month 9, visual acuity had improved by 5.7 letters (P = 0.10). Subsequently, mean visual acuity gradually decreased, and the difference from baseline was diminished to 2.9 letters at 24 months (P = 0.43). Mean CRT was significantly decreased from baseline over the 24-month follow-up (P < 0.05).Conclusion: With PDT combined with IVR for PCV, visual acuity improved during year 1, but the benefit decreased in year 2.Keywords: photodynamic therapy, polypoidal choroidal vasculopathy, ranibizumab
format article
author Nemoto R
Miura M
Iwasaki T
Goto H
author_facet Nemoto R
Miura M
Iwasaki T
Goto H
author_sort Nemoto R
title Two-year follow-up of ranibizumab combined with photodynamic therapy for polypoidal choroidal vasculopathy
title_short Two-year follow-up of ranibizumab combined with photodynamic therapy for polypoidal choroidal vasculopathy
title_full Two-year follow-up of ranibizumab combined with photodynamic therapy for polypoidal choroidal vasculopathy
title_fullStr Two-year follow-up of ranibizumab combined with photodynamic therapy for polypoidal choroidal vasculopathy
title_full_unstemmed Two-year follow-up of ranibizumab combined with photodynamic therapy for polypoidal choroidal vasculopathy
title_sort two-year follow-up of ranibizumab combined with photodynamic therapy for polypoidal choroidal vasculopathy
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/5a9a36226e494f9d90526e06c51cd2a6
work_keys_str_mv AT nemotor twoyearfollowupofranibizumabcombinedwithphotodynamictherapyforpolypoidalchoroidalvasculopathy
AT miuram twoyearfollowupofranibizumabcombinedwithphotodynamictherapyforpolypoidalchoroidalvasculopathy
AT iwasakit twoyearfollowupofranibizumabcombinedwithphotodynamictherapyforpolypoidalchoroidalvasculopathy
AT gotoh twoyearfollowupofranibizumabcombinedwithphotodynamictherapyforpolypoidalchoroidalvasculopathy
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