KMID : 0213520170310030230
|
|
Korean Journal of Ophthalmology 2017 Volume.31 No. 3 p.230 ~ p.239
|
|
Polypoidal Choroidal Vasculopathy with Feeder Vessels: Characteristics, Fellow Eye Findings, and Long-term Treatment Outcomes
|
|
Hwang Hyun-Ji
Kim Jae-Hui Chang Young-Suk Kim Jong-Woo Kim Chul-Gu
|
|
Abstract
|
|
|
Purpose: To evaluate the long-term outcomes of anti-vascular endothelial growth factor (VEGF) therapy for polypoidal choroidal vasculopathy (PCV) with feeder vessels and to investigate fellow-eye findings.
Methods: This retrospective observational study included 14 eyes with treatment-naive PCV accompanied by feeder vessels that were treated with anti-VEGF monotherapy. The best-corrected visual acuity (BCVA) at baseline was compared with that at the last follow-up. The fellow-eye indocyanine green angiography findings were also analyzed.
Results: The mean follow-up period was 28.1 ¡¾ 19.2 months (range, 12 to 60 months). During the follow-up period, 5.9 ¡¾ 2.5 anti-VEGF injections were administered. The logarithm of the minimal angle of resolution (logMAR) BCVAs at the time of diagnosis, at 3 months, and at the last follow-up were 0.81 ¡¾ 0.49, 0.55 ¡¾ 0.44, and 0.71 ¡¾ 0.54, respectively. Although the BCVA at the last follow-up was not different from the baseline value (p=0.809), an improvement of ¡Ã0.2 logMAR BCVA was observed in seven eyes (50.0%). In 11 eyes that underwent bilateral indocyanine green angiography at diagnosis, PCV, branching vascular networks, and late geographic hyperfluorescence were noted in two (18.2%), five (45.4%), and three (27.3%) fellow eyes, respectively. During the follow-up period, the development of polypoidal lesions in the fellow eye was observed in three patients.
Conclusions: In this study, long-term improvement in BCVA was noted in 50% of the included patients who received anti-VEGF monotherapy. A relatively high incidence of pathological findings in the fellow eye and bilateral involvement suggest the need for bilateral examinations.
|
|
KEYWORD
|
|
Choroidal neovascularization, Macular degeneration, Polypoidal choroidal vasculopathy, Ranibizumab
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|