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1000 Titel
  • Response of neovascular central serous chorioretinopathy to an extended upload of anti-VEGF agents
1000 Autor/in
  1. Schworm, Benedikt |
  2. Luft, Nikolaus |
  3. Keidel, Leonie F. |
  4. Hagenau, Felix |
  5. Kern, Christoph |
  6. Herold, Tina |
  7. Kortuem, Karsten U. |
  8. Priglinger, Siegfried G. |
  9. Siedlecki, Jakob |
1000 Erscheinungsjahr 2020
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2020-02-28
1000 Erschienen in
1000 Quellenangabe
  • 258(5):1013-1021
1000 Copyrightjahr
  • 2020
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00417-020-04623-w |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Purpose!#!To determine the anatomical and functional outcomes of an extended 6-month intravitreal anti-vascular endothelial growth factor (anti-VEGF) upload in choroidal neovascularization (CNV) secondary to chronic central serous chorioretinopathy (CSCR).!##!Methods!#!A retrospective database analysis was performed applying the following inclusion criteria: (1) diagnosis of CSCR, (2) diagnosis of secondary CNV, and (3) treatment of at least six consecutive injections of anti-VEGF. Outcome measures included the change of central retinal subfield thickness, remodeling of the pigment epithelium detachments, and change in visual function.!##!Results!#!Twenty-one eyes of 21 patients were included. Mean patient age was 65 ± 8.3 years, and 35% of the patients (n = 8) were female. Mean disease duration before diagnosis of CNV was 48 ± 25.3 months. Mean central retinal thickness decreased from 346 ± 61 to 257 ± 57 μm (p < 0.01) after the sixth injection while mean visual acuity improved from 0.65 ± 0.35 to 0.49 ± 0.29 (logMAR; p < 0.01). Of note, an extended upload of six as opposed to three injections yielded an additional mean central retinal thickness reduction (280 ± 46 μm vs. 257 ± 57 μm, p = 0.038). Significant CNV remodeling was observed as a decrease in pigment epithelium detachment (PED) vertical (p = 0.021) and horizontal diameter (p = 0.024) as well as PED height (p < 0.01).!##!Conclusion!#!An extended anti-VEGF upload of six consecutive injections seems to be effective in inducing CNV remodeling and fluid resorption in CNV complicating chronic CSCR.
1000 Sacherschließung
lokal Aged, 80 and over [MeSH]
lokal Aged [MeSH]
lokal Central serous chorioretinopathy
lokal Tomography, Optical Coherence [MeSH]
lokal Ranibizumab/therapeutic use [MeSH]
lokal Retinal Disorders
lokal Indocyanine Green/administration
lokal Choroidal Neovascularization/drug therapy [MeSH]
lokal Male [MeSH]
lokal Pigment epithelium detachment
lokal Choroidal neovascularization
lokal Visual Acuity/physiology [MeSH]
lokal Choroidal Neovascularization/diagnostic imaging [MeSH]
lokal Pachychoroid neovasculopathy
lokal Central Serous Chorioretinopathy/complications [MeSH]
lokal Coloring Agents/administration
lokal Female [MeSH]
lokal Intravitreal Injections [MeSH]
lokal Humans [MeSH]
lokal Pachychoroid
lokal Vascular Endothelial Growth Factor A/antagonists
lokal Multimodal Imaging [MeSH]
lokal Retrospective Studies [MeSH]
lokal Choroidal Neovascularization/etiology [MeSH]
lokal Middle Aged [MeSH]
lokal Fluorescein Angiography [MeSH]
lokal Anti-VEGF
lokal Choroidal Neovascularization/physiopathology [MeSH]
lokal Retinal Pigment Epithelium/physiopathology [MeSH]
lokal Angiogenesis Inhibitors/therapeutic use [MeSH]
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0003-0753-2408|https://frl.publisso.de/adhoc/uri/THVmdCwgTmlrb2xhdXM=|https://frl.publisso.de/adhoc/uri/S2VpZGVsLCBMZW9uaWUgRi4=|https://frl.publisso.de/adhoc/uri/SGFnZW5hdSwgRmVsaXg=|https://frl.publisso.de/adhoc/uri/S2VybiwgQ2hyaXN0b3Bo|https://frl.publisso.de/adhoc/uri/SGVyb2xkLCBUaW5h|https://frl.publisso.de/adhoc/uri/S29ydHVlbSwgS2Fyc3RlbiBVLg==|https://frl.publisso.de/adhoc/uri/UHJpZ2xpbmdlciwgU2llZ2ZyaWVkIEcu|https://frl.publisso.de/adhoc/uri/U2llZGxlY2tpLCBKYWtvYg==
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1000 Erstellt am 2023-11-17T10:16:26.182+0100
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