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Retina. 2015 Dec;35(12):2450-6. doi: 10.1097/IAE.0000000000000632.

INTRAVITREAL ANTI-VASCULAR ENDOTHELIAL GROWTH FACTOR THERAPY FOR CHOROIDAL NEOVASCULARIZATION SECONDARY TO PATHOLOGIC MYOPIA: SIX YEARS OUTCOME.

Author information

1
*Department of Ophthalmology, Castilla La Mancha University, Albacete and Baviera European Institute of Retina, Alicante, Spain; †Pío del Río Hortega University Hospital, Department of Ophthalmology, Valladolid and Oftalvist, Retina Unit, Madrid, Spain; ‡University of the Basque Country (Surgical-Clinical Institute of Ophthalmology) and San Eloy Hospital, Bilbao, Spain; §Bellvitge University Hospital, Department of Ophthalmology, Barcelona, Spain; ¶Navarra University Hospital, Department of Ophthalmology, Pamplona, Spain; **Department of Sense Organs of Faculty of Medicine of University of Porto and Department of Ophthalmology of Hospital of São João, Porto, Portugal; and ††Faculty of Medicine University of Coimbra (FMUC), Coimbra Hospital and University Centre (CHUC) and Association for Innovation and Biomedical Research on Light and Image (AIBILI), Coimbra, Portugal.

Abstract

PURPOSE:

To report the visual outcome after 6-year follow-up in highly myopic eyes with choroidal neovascularization treated with anti-vascular endothelial growth factor drugs.

METHODS:

Retrospective, nonrandomized, multicenter, consecutive, and interventional case series.

RESULTS:

Seventy-eight patients were treated with intravitreal bevacizumab and 19 with ranibizumab. Mean age of the patients was 56.5 years (SD, 13.3). The average number of letters read was 56.7 (SD, 19.0) at baseline; 65.7 (SD, 18.4) at 12 months; 63.6 (SD, 20.6) at 24 months; 62.4 (SD, 21.4) at 36 months; 60.6 (SD, 22.0) at 48 months; 58.9 (SD, 22.9) at 60 months, and 58.4 (SD, 22.7) at 72 months (P < 0.01, between initial vs. 12, 24, and 36 months; P = 0.07, 0.3, and 0.5 between initial vs. 48, 60, and 72 months, respectively; Student's t-test paired data). The mean total number of intravitreal injections was 3.3 (SD, 2.3; range, 1-9).

CONCLUSION:

Bevacizumab and ranibizumab are effective therapies and show similar clinical effects in myopic eyes with choroidal neovascularization. Visual acuity gain is maintained at a 3-year follow-up. The improvement is no longer statistically significant at Years 4, 5, and 6.

Comment in

PMID:
26049616
DOI:
10.1097/IAE.0000000000000632
[Indexed for MEDLINE]

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