RT Journal Article
SR Electronic
T1 Reducing the clinical burden of ranibizumab treatment for neovascular age-related macular degeneration using an individually planned regimen
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 1192
OP 1196
DO 10.1136/bjophthalmol-2013-304556
VO 98
IS 9
A1 Mantel, Irmela
A1 Niderprim, Sophie-Alexia
A1 Gianniou, Christina
A1 Deli, Angeliki
A1 Ambresin, Aude
YR 2014
UL http://bjo.bmj.com/content/98/9/1192.abstract
AB Aims The purpose of this study was to clinically validate an individually planned treatment regimen for neovascular age-related macular degeneration (nAMD), termed, observe and plan. This regimen was based on the predictability of an individual's need for retreatment and aimed to reduce the clinical burden, while obtaining good functional results. Methods This was a prospective case series that included 104 patients (115 eyes) with treatment-naive nAMD. Following three loading doses of ranibizumab, monthly observation visits allowed the disease recurrence interval to be determined. The recurrence interval was reduced by 2 weeks to give the retreatment interval for the next three injections. Periodical control visits (at least every 6 months) allowed the effectiveness of the treatment to be assessed and individual intervals adjusted. Results Mean visual acuity (VA) improved by 8.7 and 9.8 letters in months 3 and 12, respectively. The mean number of injections during the 12-month study was 7.8, while the mean number of ophthalmic examinations between months 3 and 12 was 3.97. The mean treatment interval after the loading doses was 1.97 months. Conclusions The observe-and-plan regimen significantly improved VA. This was obtained with fewer clinic visits compared with other regimens, which could ease the burden of nAMD treatment. Trial registration number Commission cantonale (VD) d'éthique de la recherché Clinique, Université de Lausanne, Protocole 351/11.