Vascular endothelial growth factor inhibitors for predominantly Caucasian myopic choroidal neovascularization: 2‐year treatment outcomes in clinical practice: data from the Fight Retinal Blindness! Registry

Autor: Ricardo P. Casaroli-Marano, Pierre-Henry Gabrielle, Lucia Miguel, Socorro Alforja, Daniel Barthelmes, Jennifer J. Arnold, Javier Zarranz-Ventura, Laura Sararols, Mark C Gillies, Catherine Creuzot-Garcher, Vuong Nguyen
Přispěvatelé: The Save Sight Institute, Sydney Medical School, The University of Sydney, Sydney, Australia, Service d'Ophtalmologie (CHU de Dijon), Centre Hospitalier Universitaire de Dijon - Hôpital François Mitterrand (CHU Dijon), Centre des Sciences du Goût et de l'Alimentation [Dijon] (CSGA), Université de Bourgogne (UB)-AgroSup Dijon - Institut National Supérieur des Sciences Agronomiques, de l'Alimentation et de l'Environnement-Centre National de la Recherche Scientifique (CNRS)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE), Hospital Clinic Barcelona, Hospital General de Catalunya, University of Barcelona, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), Universitat de Barcelona (UB), Marsden Eye Research - Marsden Eye Specialists, University hospital of Zurich [Zurich], La fondation de France., University of Zurich, Gabrielle, Pierre-Henry
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Male
Vascular Endothelial Growth Factor A
genetic structures
Treatment outcome
Visual Acuity
Angiogenesis Inhibitors
Blindness
chemistry.chemical_compound
0302 clinical medicine
Ceguesa
Registries
Fluorescein Angiography
high myopia
Factor de creixement de l'endoteli vascular
Incidence
General Medicine
Middle Aged
2731 Ophthalmology
myopic choroidal neovascularization
3. Good health
Bevacizumab
Clinical Practice
Vascular endothelial growth factor
Treatment Outcome
Intravitreal Injections
Myopia
Degenerative

Female
Tomography
Optical Coherence

medicine.drug
10018 Ophthalmology Clinic
medicine.medical_specialty
Fundus Oculi
VEGF inhibitors
610 Medicine & health
Caucasian
White People
03 medical and health sciences
Myopic choroidal neovascularization
Vascular endothelial growth factors
Ranibizumab
Ophthalmology
medicine
Humans
myopia
[SDV.MHEP.OS]Life Sciences [q-bio]/Human health and pathology/Sensory Organs
Aged
Retrospective Studies
optical coherence tomography
business.industry
Retinal
medicine.disease
Choroidal Neovascularization
eye diseases
pathological myopia
chemistry
030221 ophthalmology & optometry
anti-VEGF therapy
sense organs
business
030217 neurology & neurosurgery
Follow-Up Studies
Zdroj: Acta Ophthalmologica Scandinavica-Supplement
Acta Ophthalmologica Scandinavica-Supplement-, In press, ⟨10.1111/aos.14893⟩
Dipòsit Digital de la UB
Universidad de Barcelona
ISSN: 1395-3931
DOI: 10.1111/aos.14893⟩
Popis: Purpose: To report the 24-month outcomes of vascular endothelial growth factor (VEGF) inhibitors for myopic choroidal neovascularization (mCNV) in predominantly Caucasian eyes in routine clinical practice. Methods: Retrospective analysis of treatment-na¿ıve eyes starting intravitreal injection of VEGF inhibitors of either bevacizumab (1.25 mg) or ranibizumab (0.5 mg) for mCNV from 1 January 2006 to 31 May 2018 that were tracked in the Fight Retinal Blindness! registry. Results: We identified 203 eyes (bevacizumab-85 and ranibizumab-118) of 189 patients. The estimated mean (95% CI) change in VA over 24 months for all eyes using longitudinal models was +8 (5, 11) letters with a median (Q1, Q3) of 3 (2, 5) injections given mostly during the first year. The estimated mean change in VA at 24 months was similar between bevacizumab and ranibizumab [+9 (5, 13) letters for bevacizumab versus +9 (6, 13) letters for ranibizumab; p = 0.37]. Both agents were also similar in the mCNV activity outcomes, treatment frequency and visit frequency. Conclusions: The 24-month treatment outcomes of VEGF inhibitors for mCNV were favourable in this largest series yet reported of predominantly Caucasian eyes in routine clinical practice,with approximately two lines of visual gain and amedian of three injections given mostly during the first year. These outcomes are similar to those reported for predominantly Asian eyes.Bevacizumab appeared to be as safeandeffective as ranibizumab. Key words: anti-VEGF therapy - Caucasian - high myopia - myopia - myopic choroidal neovascularization - optical coherence tomography - pathologic myopia - VEGF inhibitors
Databáze: OpenAIRE