دورية أكاديمية
Efficacy of Aflibercept as initial treatment for neovascular age-related macular degeneration in an Iraqi patient sample.
العنوان: | Efficacy of Aflibercept as initial treatment for neovascular age-related macular degeneration in an Iraqi patient sample. |
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المؤلفون: | Hussein ZR; Department of Ophthalmology, Ibn Al-Haithem Teaching Eye Hospital, Baghdad, Iraq., Omar SK; Department of Ophthalmology, Ibn Al-Haithem Teaching Eye Hospital, Baghdad, Iraq., Alkazraji RAM; Department of Pharmacology, College of Medicine, University of Baghdad, Baghdad, Iraq., Alsamarrai AN; Department of Ophthalmology, Ibn Al-Haithem Teaching Eye Hospital, Baghdad, Iraq., Alrubaye HS; Department of Ophthalmology, Ibn Al-Haithem Teaching Eye Hospital, Baghdad, Iraq., Al-Hussaniy HA; Department of Pharmacology, College of Medicine, University of Baghdad, Baghdad, Iraq.; Dr. Hany Akeel Institute, Iraqi Medical Research Center, Baghdad, Iraq.; Department of Pharmacy, Bilad Alrafidain University College, Diyala, Iraq. |
المصدر: | Journal of medicine and life [J Med Life] 2023 Feb; Vol. 16 (2), pp. 235-243. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: |
أسماء مطبوعة: | Original Publication: Bucharest : "Carol Davila" University Press |
مواضيع طبية MeSH: | Angiogenesis Inhibitors*/therapeutic use , Wet Macular Degeneration*/diagnostic imaging , Wet Macular Degeneration*/drug therapy, Humans ; Treatment Outcome ; Follow-Up Studies ; Prospective Studies ; Iraq ; Vascular Endothelial Growth Factor A ; Visual Acuity ; Tomography, Optical Coherence ; Intravitreal Injections |
مستخلص: | Age-related macular degeneration (AMD) is a progressive degenerative eye disorder that primarily affects individuals over 50. It causes gradual loss of central vision and can lead to irreversible severe visual loss if left untreated. AMD is a leading cause of blindness in the developed world. This study aimed to investigate the effects of a loading dosage of intravitreal Aflibercept on functional and morphological responses in neovascular AMD, considering demographic characteristics and the link between AMD-related retinal symptoms at presentations. A prospective interventional study was conducted from November 2021 to September 2022 on a sample of Iraqi patients with neovascular AMD who had active choroidal neovascularization (CNV) lesions confirmed by OCT-A and received intravitreal Aflibercept 2mg injection as initial therapy (3 loading doses). Best-corrected visual acuity (BCVA) was used to measure functional responses, and central macular thickness (CMT) and maximum area of the retinal thickness (MART) (by SD-OCT) were used to measure morphological responses. The study included 48 patients (57 eyes) with active neovascular AMD. The mean difference of BCVA in log MAR (0.2 ± 0.7) significantly improved from 1.3±0.7 at baseline to 1.1±0.8 after loading Aflibercept (P=0.034). The mean difference in CMT 113.6 ± 125.9 was statistically significant (P<0.0001). Also, the mean change in MART significantly decreased from 444.2 ± 127.1 µm at baseline to 348.7±74.5 µm (p < 0.0001) after loading Aflibercept. This study demonstrated that Aflibercept is a functionally and anatomically successful treatment for neovascular AMD. Competing Interests: The authors declare no conflict of interest. (©2023 JOURNAL of MEDICINE and LIFE.) |
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فهرسة مساهمة: | Keywords: Aflibercept; anti-VEGF; neovascular age-related macular degeneration (AMD); prospective study; vascular endothelial growth factor (VEGF) |
المشرفين على المادة: | 15C2VL427D (aflibercept) 0 (Angiogenesis Inhibitors) 0 (Vascular Endothelial Growth Factor A) |
تواريخ الأحداث: | Date Created: 20230320 Date Completed: 20230321 Latest Revision: 20230321 |
رمز التحديث: | 20231215 |
مُعرف محوري في PubMed: | PMC10015577 |
DOI: | 10.25122/jml-2022-0356 |
PMID: | 36937463 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1844-3117 |
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DOI: | 10.25122/jml-2022-0356 |