Publication details

Prognostic Factors of Early Morphological Response to Treatment with Ranibizumab in Patients with Wet Age-Related Macular Degeneration

Authors

CHRAPEK Oldřich JARKOVSKÝ Jiří ŠÍN Martin STUDNIČKA Jan KOLÁŘ Petr JIRKOVÁ Barbora DUŠEK Ladislav PITROVÁ Šárka ŘEHÁK Jiří

Year of publication 2015
Type Article in Periodical
Magazine / Source Journal of Ophthalmology
MU Faculty or unit

Faculty of Medicine

Citation
Web plné znění publikace
Doi http://dx.doi.org/10.1155/2015/867479
Field ORL, ophthalmology, stomatology
Keywords ranibizumab; wet age-related macular degeneration; prognostic factor; early response
Attached files
Description Aim. To assess the significance of age, gender, baseline best corrected visual acuity, baseline macula thickness, and type and size of choroidal neovascularization in early morphological therapeutic response to ranibizumab treatment in patients with the wet form of age related macular degeneration. Methods. From 09/2008 to 06/2013 we evaluated 1153 newly diagnosed, treatment naive patients treated with ranibizumab. Based on the morphological findings in the macula following the initial 3 injections of ranibizumab, the patients were divided into two groups based on active and inactive choroidal neovascularization. Results. After the initial 3 injections of ranibizumab, we examined the sample of 841 eyes with active CNV and 312 eyes with inactive CNV. In the inactive group, we found a statistically higher proportion of occult CNV (P less than 0.001) and lower incidence of CNV greater than 5DA (P less than 0.001) compared with the active group. We found no statistically significant difference in age, gender, baseline best corrected visual acuity, or baseline macula thickness between the inactive and active groups. Conclusion. Occult CNV and CNV smaller than 5DA are optimistic factors for a better morphological therapeutic response at the beginning of ranibizumab treatment.

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