Literature DB >> 29566387

Spectral-Domain Optical Coherence Tomography-Driven Treat-and-Extend and Pro Re Nata Regimen in Patients with Macular Oedema due to Retinal Vein Occlusion: 24-Month Evaluation and Outcome Predictors.

Maria-Magdalena Guichard1, Anton R Xavier1, Cengiz Türksever1, Christian Pruente2,3, Katja Hatz1,2.   

Abstract

PURPOSE: To analyse the efficacy and outcome predictors of ranibizumab using a spectral-domain optical coherence tomography (SD-OCT)-driven treat-and-extend regimen (TER) versus SD-OCT-driven pro re nata regimen (PRN) in patients with cystoid macular oedema (CME) due to branch or central retinal vein occlusion (BRVO, CRVO).
METHODS: Retrospective, consecutive case series. Evaluation included best corrected visual acuity (BCVA), morphological parameters on SD-OCT, and treatment frequency.
RESULTS: From baseline to months 12, 18, and 24, BCVA improved by 16.6 ± 13.1, 15.5 ± 14.4, and 16.6 ± 15.8 letters, respectively, in TER (n = 45), compared to 11.3 ± 17.0, 11.0 ± 15.0, and 10 ± 20.5 letters in PRN (n = 31) (p = 0.152, p = 0.237, p = 0.172). The mean reduction in central retinal thickness was -261 ± 189, -272 ± 188, and -264 ± 158 μm, respectively, in TER, compared to -130 ± 196, -140 ± 210, and -166 ± 207 μm in PRN (p = 0.006, p = 0.017, p = 0.064). 59% (53%) of TER and 22% (17%) of PRN patients showed no intra- or subretinal fluid on SD-OCT at 12 (24) months. Using TER, the maximum recurrence-free treatment interval increased from 8.9 ± 2.3 weeks at 12 months to 9.8 ± 2.3 and 10.5 ± 2.7 weeks at 18 and 24 months, respectively. The number of injections was significantly higher in the TER than in the PRN group.
CONCLUSIONS: In CME, due to BRVO/CRVO, TER provides better morphological outcome using more injections than PRN.
© 2018 The Author(s) Published by S. Karger AG, Basel.

Entities:  

Keywords:  Macular oedema; Pro re nata regimen; Ranibizumab; Retinal vein occlusion; Treat-and-extend regimen

Mesh:

Substances:

Year:  2018        PMID: 29566387      PMCID: PMC6050640          DOI: 10.1159/000487489

Source DB:  PubMed          Journal:  Ophthalmic Res        ISSN: 0030-3747            Impact factor:   2.892


  24 in total

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Authors:  Raafay Sophie; Na Lu; Peter A Campochiaro
Journal:  Ophthalmology       Date:  2015-04-11       Impact factor: 12.079

2.  Monthly versus as-needed ranibizumab injections in patients with retinal vein occlusion: the SHORE study.

Authors:  Peter A Campochiaro; Charles C Wykoff; Michael Singer; Robert Johnson; Dennis Marcus; Linda Yau; Gary Sternberg
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Authors:  K Bailey Freund; Jean-François Korobelnik; Robert Devenyi; Carsten Framme; John Galic; Edward Herbert; Hans Hoerauf; Paolo Lanzetta; Stephan Michels; Paul Mitchell; Jordi Monés; Carl Regillo; Ramin Tadayoni; James Talks; Sebastian Wolf
Journal:  Retina       Date:  2015-08       Impact factor: 4.256

4.  Ranibizumab for macular edema following central retinal vein occlusion: six-month primary end point results of a phase III study.

Authors:  David M Brown; Peter A Campochiaro; Rishi P Singh; Zhengrong Li; Sarah Gray; Namrata Saroj; Amy Chen Rundle; Roman G Rubio; Wendy Yee Murahashi
Journal:  Ophthalmology       Date:  2010-04-09       Impact factor: 12.079

5.  Sustained benefits from ranibizumab for macular edema following branch retinal vein occlusion: 12-month outcomes of a phase III study.

Authors:  David M Brown; Peter A Campochiaro; Robert B Bhisitkul; Allen C Ho; Sarah Gray; Namrata Saroj; Anthony P Adamis; Roman G Rubio; Wendy Yee Murahashi
Journal:  Ophthalmology       Date:  2011-08       Impact factor: 12.079

6.  Sustained benefits from ranibizumab for macular edema following central retinal vein occlusion: twelve-month outcomes of a phase III study.

Authors:  Peter A Campochiaro; David M Brown; Carl C Awh; S Young Lee; Sarah Gray; Namrata Saroj; Wendy Yee Murahashi; Roman G Rubio
Journal:  Ophthalmology       Date:  2011-06-29       Impact factor: 12.079

7.  Treat-and-extend intravitreal bevacizumab for branch retinal vein occlusion.

Authors:  Ryan B Rush; Matthew P Simunovic; Antonio V Aragon; J Edward Ysasaga
Journal:  Ophthalmic Surg Lasers Imaging Retina       Date:  2014-04-10       Impact factor: 1.300

8.  Predictive imaging biomarkers relevant for functional and anatomical outcomes during ranibizumab therapy of diabetic macular oedema.

Authors:  Bianca S Gerendas; Sonja Prager; Gabor Deak; Christian Simader; Jan Lammer; Sebastian M Waldstein; Tadhg Guerin; Michael Kundi; Ursula Margarethe Schmidt-Erfurth
Journal:  Br J Ophthalmol       Date:  2017-07-19       Impact factor: 4.638

Review 9.  A paradigm shift in imaging biomarkers in neovascular age-related macular degeneration.

Authors:  Ursula Schmidt-Erfurth; Sebastian M Waldstein
Journal:  Prog Retin Eye Res       Date:  2015-08-22       Impact factor: 21.198

10.  HYPERREFLECTIVE FOCI AS AN INDEPENDENT VISUAL OUTCOME PREDICTOR IN MACULAR EDEMA DUE TO RETINAL VASCULAR DISEASES TREATED WITH INTRAVITREAL DEXAMETHASONE OR RANIBIZUMAB.

Authors:  Irini P Chatziralli; Theodoros N Sergentanis; Sobha Sivaprasad
Journal:  Retina       Date:  2016-12       Impact factor: 4.256

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  4 in total

1.  Predictors for 2-Year Functional and Morphological Outcomes of a Treat-and-Extend Regimen with Ranibizumab in Patients with Diabetic Macular Edema.

Authors:  Helena Giannakaki-Zimmermann; Alexandra Behrndt; Laura Hoffmann; Maria-Magdalena Guichard; Cengiz Türksever; Christian Prünte; Katja Hatz
Journal:  Ophthalmic Res       Date:  2021-01-26       Impact factor: 2.892

2.  Efficacy of Modified Treat-and-Extend Aflibercept Regimen for Macular Edema Due to Branch Retinal Vein Occlusion: 1-Year Prospective Study.

Authors:  Yusuke Arai; Hidenori Takahashi; Satoru Inoda; Shinichi Sakamoto; Xue Tan; Yuji Inoue; Satoko Tominaga; Hidetoshi Kawashima; Yasuo Yanagi
Journal:  J Clin Med       Date:  2020-07-23       Impact factor: 4.241

3.  Real-Life Efficacy of Bevacizumab Treatment for Macular Edema Secondary to Central Retinal Vein Occlusion according to Pro Re Nata or Treat-and-Extend Regimen in Eyes with or without Epiretinal Membrane.

Authors:  Moustafa Hamam; Neil Lagali; Elie Abdulnour; Helen Setterud; Björn Johansson; Pierfrancesco Mirabelli
Journal:  J Ophthalmol       Date:  2022-10-03       Impact factor: 1.974

4.  Changes in metamorphopsia after the treat-and-extend regimen of anti-VEGF therapy for macular edema associated with branch retinal vein occlusion.

Authors:  Kenichiro Mori; Keijiro Ishikawa; Iori Wada; Yuki Kubo; Yoshiyuki Kobayashi; Takahito Nakama; Masatoshi Haruta; Masato Akiyama; Shintaro Nakao; Shigeo Yoshida; Koh-Hei Sonoda
Journal:  PLoS One       Date:  2020-10-28       Impact factor: 3.240

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