Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Smretschnig, E; Hagen, S; Glittenberg, C; Ristl, R; Krebs, I; Binder, S; Ansari-Shahrezaei, S.
Intravitreal anti-vascular endothelial growth factor combined with half-fluence photodynamic therapy for choroidal neovascularization in chronic central serous chorioretinopathy.
Eye (Lond). 2016; 30(6):805-811
Doi: 10.1038/eye.2016.41
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- Führende Autor*innen der Med Uni Graz
- Ansari Shahrezaei Siamak
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- Abstract:
- PurposeTo evaluate the results of indocyanine green angiography (ICGA)-guided verteporfin photodynamic therapy (PDT) with half-fluence rate combined with intravitreal application of anti-VEGF in treating choroidal neovascularization (CNV) in chronic central serous chorioretinopathy (CSCR).Patients and methodsIn this retrospective cohort study 17 consecutive patients with secondary CNV due to chronic CSCR had their diagnosis verified with fluorescein angiography (FA) and ICGA at baseline. All eyes received either intravitreal ranibizumab (IVR) or bevacizumab (IVB). On the consecutive day following the initial IVR/IVB treatment, ICGA-guided verteporfin (6 mg/m(2)) PDT with half-fluence rate (25 J/cm(2)) was performed on every patient. IVR or IVB was rescheduled on a pro re nata regimen. Main outcome measures were changes in visual acuity (VA) according to the ETDRS letter score and changes in the central foveal thickness (CFT).ResultsBest-corrected VA at baseline was 65.6 letters (±6.7; n=17) according to the ETDRS letter score. At 12 months, mean ETDRS letter score improved to 71.2 letters (P=0.34). CFT was 309 μm and decreased to 216 μm at month 12 control (P=0.0004). Nine eyes (52.9%) received additional treatment with IVR/IVB due to recurrence of subretinal fluid, with an overall mean number of IVR/IVB treatment of 1.8±3.6 per patient with no systemic side effects during 12 months' follow-up.ConclusionsIVR or IVB combined with ICGA-guided half-fluence PDT with verteporfin is effective in treating CNV in chronic CSCR, with choroidal hyperpermeability in ICGA, resulting in stable vision and significant reduction of CFT.
- Find related publications in this database (using NLM MeSH Indexing)
- Adult -
- Angiogenesis Inhibitors - therapeutic use
- Central Serous Chorioretinopathy - complications
- Central Serous Chorioretinopathy - diagnosis
- Central Serous Chorioretinopathy - drug therapy
- Choroidal Neovascularization - diagnosis
- Choroidal Neovascularization - drug therapy
- Choroidal Neovascularization - etiology
- Chronic Disease -
- Coloring Agents - administration & dosage
- Combined Modality Therapy -
- Female -
- Fluorescein Angiography -
- Humans -
- Indocyanine Green - administration & dosage
- Intravitreal Injections -
- Male -
- Middle Aged -
- Photochemotherapy -
- Photosensitizing Agents - therapeutic use
- Porphyrins - therapeutic use
- Retrospective Studies -
- Vascular Endothelial Growth Factor A - antagonists & inhibitors
- Verteporfin -