Abstract:
PURPOSE:To evaluate the outcome of intravitreal injection of aflibercept in cases with exudative age-related macular degeneration, (AMD) resistant to injections of bevacizumab or ranibizumab. DESIGN:Retrospective observational case series. METHODS:A retrospective chart review at a single institution was conducted to identify patients with exudative AMD and choroidal neovascularization (CNV) in 1 or both eyes resistant to treatment with ranibizumab or bevacizumab who were switched to treatment with at least 3 monthly injections of aflibercept. In total, 36 eyes from 31 patients were included. The demographic data, visual acuities, central macular thickness on optical coherence tomography (OCT), complications, and number of injections were reviewed. RESULTS:The mean patient age was 79 years (range 60-88). There were 13 male and 18 female patients. The number of prior injections with either bevacizumab or ranibizumab ranged from 6-74. After 3 monthly injections of aflibercept, there was a reduction of either subretinal or intraretinal fluid in 18 of 36 (50.0%) of the treated eyes; the amount of fluid remained stable in 15 eyes (41.7%) and worsened in 3 eyes (8.3%). A significant average decrease was observed for the central macular thickness after 3 injections of 65 μm (P = 2.9 × 10(-6)), with no significant change in visual acuity. CONCLUSIONS:Aflibercept therapy appears to be beneficial in a subset of patients with neovascular age-related macular degeneration who exhibit recurrent or resistant intraretinal or subretinal fluid following multiple injections with either bevacizumab or ranibizumab.
journal_name
Am J Ophthalmoljournal_title
American journal of ophthalmologyauthors
Bakall B,Folk JC,Boldt HC,Sohn EH,Stone EM,Russell SR,Mahajan VBdoi
10.1016/j.ajo.2013.02.017subject
Has Abstractpub_date
2013-07-01 00:00:00pages
15-22.e1issue
1eissn
0002-9394issn
1879-1891pii
S0002-9394(13)00144-Xjournal_volume
156pub_type
杂志文章abstract::We modified trabeculo-iridocyclosclerectomy in a technique for en bloc excision of anterior uveal tumor. A trabeculectomy-type of approach was used, which allowed excision of a rectangular block of sclera, cornea, and trabeculum with attached uveal tissue containing the tumor. ...
journal_title:American journal of ophthalmology
pub_type: 杂志文章
doi:10.1016/0002-9394(79)90657-3
更新日期:1979-09-01 00:00:00
abstract:PURPOSE:To determine the efficacy of internal limiting membrane (ILM) peeling during vitrectomy for rhegmatogenous retinal detachment (RRD) regarding post-vitrectomy epiretinal membrane (ERM) development and visual outcomes. DESIGN:Retrospective, interventional, comparative case series. METHODS:Setting: Institutional...
journal_title:American journal of ophthalmology
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更新日期:2016-11-01 00:00:00
abstract::Subconjunctival 5-fluorouracil has been an effective adjunct in glaucoma filtering surgery. We investigated the effectiveness of 5-fluorouracil in primary trabeculectomy combined with phacoemulsification and posterior chamber intraocular lens implantation (glaucoma triple procedure). Seventy-four patients were enrolle...
journal_title:American journal of ophthalmology
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1993-11-15 00:00:00
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journal_title:American journal of ophthalmology
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更新日期:2009-02-01 00:00:00
abstract:PURPOSE:To identify any temporal trends in the diagnosis of plus disease in retinopathy of prematurity (ROP) by experts. DESIGN:Reliability analysis. METHODS:ROP experts were recruited in 2007 and 2016 to classify 34 wide-field fundus images of ROP as plus, pre-plus, or normal, coded as "3," "2," and "1," respectivel...
journal_title:American journal of ophthalmology
pub_type: 杂志文章,多中心研究
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更新日期:2017-04-01 00:00:00
abstract::We studied four patients who, having received postoperative 5-fluorouracil after glaucoma filtering operations, developed serious corneal complications. All four patients had preexisting corneal abnormalities including keratoconjunctivitis sicca, exposure keratopathy, and bullous keratopathy. All of the patients devel...
journal_title:American journal of ophthalmology
pub_type: 杂志文章
doi:10.1016/s0002-9394(14)74224-2
更新日期:1987-02-15 00:00:00
abstract:PURPOSE:To identify the frequency of recently acquired vs chronic systemic Toxoplasma gondii infections in patients with ocular toxoplasmosis. METHODS:Serum samples from 22 patients with primary ocular toxoplasmosis (not from scars) and 42 patients with recurrent ocular toxoplasmosis were tested for the presence of an...
journal_title:American journal of ophthalmology
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journal_title:American journal of ophthalmology
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更新日期:2005-12-01 00:00:00
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journal_title:American journal of ophthalmology
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doi:10.1016/j.ajo.2004.12.014
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journal_title:American journal of ophthalmology
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abstract:PURPOSE:To objectively quantify choroidal thickness and choroidal volume using fully automated choroidal segmentation software applied to images obtained from enhanced depth imaging spectral-domain optical coherence tomography (EDI SD OCT) in a population-based study; and evaluate the ocular and systemic determinants o...
journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:2015-02-01 00:00:00
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journal_title:American journal of ophthalmology
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journal_title:American journal of ophthalmology
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更新日期:2006-11-01 00:00:00
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pub_type: 临床试验,杂志文章
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:1986-01-15 00:00:00
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journal_title:American journal of ophthalmology
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journal_title:American journal of ophthalmology
pub_type: 杂志文章
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更新日期:1976-12-01 00:00:00
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journal_title:American journal of ophthalmology
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