Stereotactic low-voltage x-ray irradiation for age-related macular degeneration

Br J Ophthalmol. 2011 Feb;95(2):185-8. doi: 10.1136/bjo.2009.163907. Epub 2010 Sep 18.

Abstract

The IRay stereotactic low-voltage x-ray irradiation treatment system for age-related macular degeneration consists of a low voltage x-ray tube, an eye tracking system, a robotically controlled delivery system, a coupling device to facilitate tracking and stabilisation, a graphical user interface and gating software. Low-voltage x-rays are delivered in a series of three spots to the macula in a non-invasive manner through the inferior pars plana. These beams are designed to overlap on the centre of the macula. Each beam delivers one-third of the total dose, such that the total macula dose is three times an individual beam's dose. The device is designed to run off standard domestic electrical power, and no special shielding is necessary for the room. This system has been validated in Monte Carlo simulations, human cadaver eye studies, pre-clinical animal studies and in a phase I clinical trial.

Publication types

  • Validation Study

MeSH terms

  • Equipment Design
  • Humans
  • Macular Degeneration / radiotherapy*
  • Radiotherapy Dosage
  • Radiotherapy Planning, Computer-Assisted / methods*
  • Vascular Endothelial Growth Factor A / metabolism
  • Vascular Endothelial Growth Factor A / radiation effects

Substances

  • VEGFA protein, human
  • Vascular Endothelial Growth Factor A