دورية أكاديمية

Efficacy of Aflibercept as initial treatment for neovascular age-related macular degeneration in an Iraqi patient sample.

التفاصيل البيبلوغرافية
العنوان: Efficacy of Aflibercept as initial treatment for neovascular age-related macular degeneration in an Iraqi patient sample.
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: Carol Davila" University Press Country of Publication: Romania NLM ID: 101477617 Publication Model: Print Cited Medium: Internet ISSN: 1844-3117 (Electronic) Linking ISSN: 1844122X NLM ISO Abbreviation: J Med Life Subsets: MEDLINE
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
الوصف
تدمد:1844-3117
DOI:10.25122/jml-2022-0356