Abstract:
PURPOSE:To report the functional and anatomical outcomes resulting from the use of intravitreal pegaptanib sodium (Macugen) in patients with diabetic macular oedema (DMO). METHODS:We conducted a retrospective outcome analysis, by optical coherence tomography (OCT) and best-corrected visual acuity (BCVA), of eyes with DMO treated with intravitreal pegaptanib sodium. Moreover, we evaluated the foveal transverse photoreceptor (PR) band integrity in the OCT images at the time of the last follow-up visit. RESULTS:Sixty-three eyes of 48 patients with a minimum of 6 months of follow-up were included for analysis. Intravitreal pegaptanib was found to produce significant improvements in mean BCVA (p = 0.019) and reductions in mean central macular thickness (CMT) (p < 0.001) as soon as the 6-week follow-up. Most eyes (60/63) required a mean of 3.03 +/- 0.9 repeated treatments, over a mean follow-up period of 6.7 +/- 1.2 months, to achieve significant improvements in mean BCVA (p < 0.001) and mean CMT (p < 0.001). In our series, the lower visual acuities tended to congregate in the group with the less-defined PR band (p < 0.001) and the lower CMT tended to congregate in the group with the best-defined PR band (p = 0.04), even though the higher CMT did not tend to congregate in the group with the less-defined PR band. CONCLUSION:Our findings demonstrate that selective inhibition by intravitreal pegaptanib sodium of vascular endothelial growth factor (VEGF)-165 may produce a clinically meaningful and statistically significant benefit in the treatment of DMO.
journal_name
Acta Ophthalmoljournal_title
Acta ophthalmologicaauthors
Querques G,Bux AV,Martinelli D,Iaculli C,Noci NDdoi
10.1111/j.1755-3768.2009.01580.xsubject
Has Abstractpub_date
2009-09-01 00:00:00pages
623-30issue
6eissn
1755-375Xissn
1755-3768pii
AOS1580journal_volume
87pub_type
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00
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更新日期:2010-11-01 00:00:00
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pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章
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更新日期:2020-11-16 00:00:00
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pub_type: 杂志文章
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更新日期:2018-05-01 00:00:00
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更新日期:2012-05-01 00:00:00
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