INTRAVITREAL BEVACIZUMAB IN THE TREATMENT OF CHOROIDAL NEOVASCULAR MEMBRANE DUE TO ANGIOID STREAKS

PURPOSE: To investigate the results of intravitreal bevacizumab for choroidal neovascularization (CNV) secondary to angioid streaks and to assess the factors influencing disease progression.

METHODS: Patients treated with intravitreal bevacizumab (1.25 mg/0.05 mL) for CNV secondary to angioid streaks were reviewed retrospectively. In addition to demographic findings, ophthalmologic findings at baseline and during follow-ups were recorded.

RESULTS: Twenty-three eyes of 20 patients (mean age, 45.7 years; 7 women) were included in the study. Mean follow-up was 23 months. Mean number of injections was 5.1. Initial and final logMAR visual acuity was not different (0.53 ± 0.33 and 0.60 ± 0.40 logMAR, P = 0.79). At the last examination, patients with final active CNV (N = 14) were younger (mean age, 42 years) than patients with final inactive CNV (N = 9) (mean age, 52 years). The former group required higher number of injections (6.6 vs. 2.8, P = 0.013). Eyes with pseudoxanthoma elasticum (N = 10) needed injections every 4.4 months while the others (N = 13) every 7.2 months (P = 0.072). Pseudoxanthoma elasticum positivity ended up with active membranes in 70% of the cases, composing half of the overall final active CNVs in this study.

CONCLUSION: Intravitreal bevacizumab stabilized vision in eyes with CNV and angioid streaks. At younger ages, CNV behaved more aggressively and seemed to be more resistant to treatment.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Retina (Philadelphia, Pa.) - 35(2015), 10 vom: 01. Okt., Seite 2001-10

Sprache:

Englisch

Beteiligte Personen:

Alagöz, Cengiz [VerfasserIn]
Alagöz, Neşe [VerfasserIn]
Özkaya, Abdullah [VerfasserIn]
Çelik, Uğur [VerfasserIn]
Turan, Miray F [VerfasserIn]
Yazici, Ahmet T [VerfasserIn]
Çekiç, Osman [VerfasserIn]
Demirok, Ahmet [VerfasserIn]

Links:

Volltext

Themen:

2S9ZZM9Q9V
Angiogenesis Inhibitors
Bevacizumab
Journal Article
VEGFA protein, human
Vascular Endothelial Growth Factor A

Anmerkungen:

Date Completed 12.05.2016

Date Revised 24.09.2015

published: Print

Citation Status MEDLINE

doi:

10.1097/IAE.0000000000000605

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM249227142