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Clinical science
Ranibizumab for exudative age-related macular degeneration: 24-month outcomes from a single-centre institutional setting
  1. Giuseppe Querques1,2,
  2. Sophie Azrya1,
  3. Domenico Martinelli3,
  4. Elya Berboucha1,
  5. Audrey Feldman1,
  6. Alfredo Pece2,
  7. Gabriel Coscas1,
  8. Gisèle Soubrane1,
  9. Eric H Souied1
  1. 1Department of Ophthalmology, University of Paris XII, Centre Hospitalier Intercommunal de Creteil, Creteil, France
  2. 2Retina 3000 Foundation ONLUS, Milan, Italy
  3. 3Department of Hygiene, Policlinic of Bari, University of Bari, Bari, Italy
  1. Correspondence to Dr Giuseppe Querques, Department of Ophthalmology, University of Paris XII, Centre Hospitalier Intercommunal de Creteil, 40 Avenue de Verdun, 94000 Creteil, France; giuseppe.querques{at}hotmail.it

Abstract

Background To analyse the 24-month outcomes of intravitreal ranibizumab injections for choroidal neovascularisation (CNV) secondary to age-related macular degeneration (AMD).

Methods The authors reviewed the charts of all consecutive eyes with CNV secondary to AMD, who underwent one intravitreal ranibizumab injection (followed by a pro re nata (1+PRN) decision to retreat or to not retreat) at least 24 months before. Best-corrected visual acuity (BCVA) changes and central macular thickness (CMT) were retrospectively assessed, from baseline (m0) to month 12 (m12), and 24 (m24).

Results Ninety-six eyes of 79 patients (23 male, 56 female, aged 63–90 years) were included for analysis. The number of intravitreal injections administered ranged from 1 to 16. The mean BCVA significantly improved from m0 (0.78±0.33) to m12 (0.61±0.39, p<0.001), and m24 (0.65±0.38, p<0.001). The mean CMT significantly decreased from m0 (323.7±118.1) to m12 (254.6±92.3, p<0.001), and m24 (259.0±89.9, p<0.001). At m24, subretinal fluid, cystoid macular oedema and pigment epithelium detachment were present in fewer eyes (13, 31 and 31 eyes respectively), compared with m0 (33, 61 and 72 eyes, respectively). Overall, at m12 and m24, 91 eyes (94.8%) and 84 eyes (87.5%) lost fewer than 15 letters, and 25 (26%) eyes and 24 eyes (25%) improved by 15 letters or more, respectively; five eyes (5.2%) and 12 eyes (12.5%) lost more than 15 letters, at m12 and m24, respectively.

Conclusion In this study, similarly to other studies of variable dosing regimen over 24 months, intravitreal ranibizumab was effective in significantly increasing BCVA and reducing CMT.

  • Age-related macular degeneration
  • choroidal neovascularisation
  • degeneration
  • macula
  • neovascularisation
  • ranibizumab
  • retina
  • treatment medical

https://doi.org/10.1136/bjo.2009.170670

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    Footnotes

    • Funding This study was supported thorough a research fellowship by the Retina 3000 Foundation.

    • Competing interests None.

    • Ethics approval Ethics approval was provided by the University Paris XII, France.

    • Provenance and peer review Not commissioned; externally peer reviewed.